<p> MSADA Maryland State Athletic Directors Association Hall of Fame Nomination Application</p><p>Presented to past Athletic Administrators for outstanding contributions to athletics in their school and community. Candidate must be at least a MSADA retired member. Nominations are due by February 1st</p><p>Nominee’s Name: ______MSADA Member: Yes No</p><p>Home Address: ______</p><p>Home Phone Number: ______</p><p>School(s): ______</p><p>///////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////</p><p>High School(s) Attended (include city and state): ______</p><p>College/University Attended and Degree Earned: ______</p><p>Athletic Participation (include level such as high school, college, professional) ______</p><p>Championships and Athletic Honors and Awards: ______</p><p>Sports Coached (include level and number of years): ______</p><p>Championships and Coaching Honors and Awards (include sport and level): ______</p><p>Revised: 2015 over Brief Athletic Administrator Career Summary (include positions held, locations, years of service etc.): ______</p><p>Professional Affiliations, Activities, Offices held (MSADA, NIAAA, NFHS, etc.): ______</p><p>Athletic Administrator Honors and Awards: ______</p><p>Services to the Community: ______</p><p>Significant Achievements to the Field of Athletic Administration: ______</p><p>Other Information You Would Like to Have Recognized: ______</p><p>Endorsed by:</p><p>Name:______Supervisory Position:______Contact Information:______Telephone Number:______Email Address:______</p><p>Submit completed form to:</p><p>Jason Woodward, CMAA or Carol M. Satterwhite, CAA Awards Committee Chairperson MSADA Executive Director Gaithersburg High School 5467 Gloucester Road 101 Education Blvd Columbia, Maryland 21044 Gaithersburg, Maryland 21704 [email protected] [email protected] Revised: 2015 over Revised: 2015 over</p>