Nomination Form

Nominee First Name

Nominee Last Name

Living State

Living

Deceased

Date of Death

As desired on the plaque.

Category

Full Name of Wife

Names of Children

Address

Street Address

Street Address Cont.

City

State/Province

Zip/Postal

Cell Phone

Email

Date of Birth

Place of Birth

Present Occupation

Location

High School Attended

Year of Graduation

College Attended

Year of Graduation

Please include the resume, any information regarding recognitions, honors, or prominent and lasting contributions in the advancement of football in Indiana. Please include any additional information that you would like to have considered by the Hall of Fame Committee and the Past Presidents’ Committee of the IFCA.

File Upload

Maximum upload size: 268.44MB

Submitted By First Name

Submitted By Last Name

Email

Phone

Address

City

State/Province

Zip/Postal

Please write a brief description of why you believe this candidate deserves to be in the hall of fame.

IFHOF

Nomination Form

Indiana Football Coaches Association

Indiana Football Hall of Fame