Athletic Directors: Please print or type the information on this form and give us as much detail as possible. Your school’s student-athletes deserve the same consideration as any other and the more the selection board knows about your nominee the better. You may nominate as many qualified seniors as you like. Please send in the nominations as soon as you have them completed.

(Call with questions - Cliff Gregory 434-220-7528)


Student's Name*
Current Grade Point Average*
Is this student a senior? (YES or NO)*
2.School Information
School Name*
School Phone Number*
Athletic Director*
3.ACADEMICS: Please describe class rank, academic awards or accomplishments, extracurricular activities, etc. in DETAIL*
4.ATHLETICS: Please list each sport with detailed career OR season stats for each sport, individual or team awards, etc. in DETAIL*
5.CHARACTER: Please describe this student’s character and sportsmanship in DETAIL*
6.Contact Information
Name of Coach/Person that Nominated Athlete*
Phone Number*
Email Address*
* represents required fields
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