National Wrestling Hall Of Fame

Official Nomination of Meritorious Official

Nominated By

Name

Cell Phone

Candidate Name

Candidate Mailing Address

City

State

Zip

DOB

Place

If deceased, Date of Death

Home phone

Mobile phone

Spouse's Name

Work phone

Children’s Names/ Ages

Current Profession

Position

Company/School

Retired from Officiating (Year)

SUMMARY OF ACHIEVEMENTS

High School Attended

State

Year of Graduation

HS Years completed

HS W-L Record

College Attended

State

Year of Graduation

College Years competed

College W-L Record

List Special Honors Earned

SUMMARY OF ACHIEVEMENTS

List officiating/referee highlights during your career (include dates)

Previous recognition of the candidate in officiating

Recognition of the candidate in other sports

List any wrestling association/public service organizations you currently support

List any additional information concerning your career highlights/interests not requested above

Use this space to expand on any topics listed above or attach another sheet

Has nominee ever been convicted of a Felony?

Yes

Our Mission: To honor the sport of wrestling by preserving its history, recognizing extraordinary individual achievements, and inspiring future generations