U.S. Army – Pro Football Hall of Fame Award for Excellence Program
Nomination Form
Nomination information to be submitted via email to USArmy@ProFootballHOF.com or via fax to
(330) 588-3599 by midnight EST on January 15, 2016.
STUDENT INFORMATION
Eligible students must be in their sophomore, junior, or senior year of an accredited high school during
the 2015-2016 school year.
Student First Name:
Student Last Name:
Student Home Mailing Address: Please include City, State and Zip Code
Student Phone:
Student Age on January 1, 2016:
Student Race/Ethnicity (Check One):
 American Indian/Alaska Native
 Asian
 Black or African American
 Native Hawaiian or other Pacific Islander
 Hispanic or Latino
 White
 Other
 Decline to respond
Currently in School (Y/N):
Student Gender:
Current Grade:
US Citizen (Y/N):
Student GPA as of October 1, 2015:
Student Email Address:
Student Date of Birth:
Athletic Team Participation: Please list all teams student is actively participating & seasons played
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HIGH SCHOOL INFORMATION
High School Name and Address: Please include City, State and Zip Code
Grade Levels in School:
Student Population:
Principal/Lead Administrator Name:
Does this school have a relationship with a
military recruiter? If so, please explain.
Name and Contact Information of School Representative Nominating Student:
Name:
Phone:
Email:
STUDENT PARENT/GUARDIAN INFORMATION
To be completed by Parent.
Name:
Relationship to Student:
Phone:
Email:
I give my child permission to participate in the U.S. Army - Pro Football Hall of Fame Award for Excellence
program.
Parent Signature: ________________________________________ Date: ____________________
COMMUNITY SERVICE INFORMATION
Name and Address of Organization: Please include City, State and Zip Code
Mission/Focus of Organization:
Organization Lead:
Overview of Student Nominee’s Participation:
Approximately how long has the student nominee
supported this organization?
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How many hours per week does this student
work with the organization?
COMMUNITY SERVICE ORGANIZATION INFORMATION
Please fill out if student is involved with more than one community organization.
Name and Address of Organization: Please include City, State and Zip Code.
Mission/Focus of Organization:
Organization Lead:
Overview of Student Nominee’s Participation:
Approximately how long has the student nominee
supported this organization?
How many hours per week does this student
work with the organization?
Additional documents required for submission:


Three letters of recommendation:
o One letter from a school representative, such as administrative staff, teachers, and/or
counselors
o One letter from athletic team coach and/or assistant coach
o One letter from community service organization representative
The Pro Football Hall of Fame and U.S. Army stand for Excellence. In 500 words or less, define
what Excellence means to you and what character traits have helped you achieve it.
All nomination information to be submitted via email to USArmy@ProFootballHOF.com or via fax to
(330) 588-3599 by midnight EST January 15, 2016.
You will receive an email confirmation when your email/fax is delivered successfully.
If you are age 16 or older and complete all the information requested:
The information you voluntarily provide will be used for recruiting purposes only. To opt-out please
check the box below:

I do not wish to be contacted by a U.S. Army representative
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