Please attach a resume/statement of achievements for each of
the criteria listed below. Please limit each part to a maximum of two single spaced typewritten pages.
Criteria of Nomination
(Indicate the individual’s active promotion of athletics and the State of Illinois
through his/her involvement with NIAAA, the National Federation, and/or NCSSAD.)
(Indicate the individual’s active participation in order to promote the beliefs and
purposes of the IADA, eg. Workshops/state conference presentations, committee
work, and leadership roles within the organization.)
(Indicate the individual’s active participation in order to promote the values of
athletics and sportsmanship as a viable part of the educational process within the
school and community environment.)
Please include the name, address and phone of person compiling the form.
Return the nomination form to: Jared Hart
Metamora Township High School
101 W. Madison St.
Metamora, IL 61548
Fax (309) 367-4351
Nominations must be received by Friday, November 18, 2022