WIBCA Hall of Fame: Head Coach Application

Sponsor (Nominator) Information
Name*
First Last
Where Nominator Coaches Basketball*
Cell Phone*
Email*
Nominee Information
Name*
First Last
Address*
Street Address Address Line 2 City State ZIP Code
Phone*
Email*
High School Attended*
College Attended*
1. List Degree(s) and certifications obtained*
2. Describe the sports and other extracurricular participation while in high school and college. Include years and any awards or honors.*
3. Briefly list the schools/years served and the all coaching positions, and teaching positions held.*
4. List other noteworthy basketball coaching honors and accomplishments (include year).*
5. List other sports coached (include years) and any honors and accomplishments.*
6. List any honors/awards in education or the community that demonstrates extraordinary accomplishments.*
7. List the 3 strongest reasons why this man should be inducted to the WIBCA Hall of Fame (3 sentence limit- include the rest in your letter).*
Please list 5 references. Please include 3 administrators on this list.
Reference List*
Name Title Phone#
Please fill out the following regarding Head Basketball Coaching accomplishments.
Number of Season*
# Seasons Winning Record*
# Seasons in Post Season*
List Years in Post Season*
# Teams Qualify for State (Top 16)*
# Teams Trophy at State*
# League Championships*
# District Championships*
# State Championsips*
Total Win/Loss Record
Letters of Recommendation
Letters of Recommendation – A minimum of 3 letters of recommendation are required for the application to be complete. Please upload these letters as a Word Doc or PDF.
Applications due by September 1st
Contact: Dave Dickson at: email me
File 1
Accepted file types: doc, docx, pdf, jpg, Max. file size: 5 MB.
You can up load the following types: doc, docx, pdf, jpg. Max file size 5 megs.
File 2
Accepted file types: doc, docx, pdf, jpg, Max. file size: 5 MB.
You can up load the following types: doc, docx, pdf, jpg. Max file size 5 megs
File 3
Accepted file types: doc, docx, pdf, jpg, Max. file size: 5 MB.
You can up load the following types: doc, docx, pdf, jpg. Max file size 5 megs
Procedure
1. Applications & letters of recommendation submitted by September 1
2. Sept-Oct: WIBCA Executive Board Reviews files
3. October: Executive Board selects Hall of Fame candidates
4. October: WIBCA membership approves selections at Fall Meeting
5. Chairman informs all nominees of the Board Decision
6. Hall of Fame Banquet in July: date and place TBD.

Name	Title	Phone#

WIBCA Hall of Fame: Head Coach Application

Sponsor (Nominator) Information

Nominee Information

Please list 5 references. Please include 3 administrators on this list.

Please fill out the following regarding Head Basketball Coaching accomplishments.

Letters of Recommendation

Procedure

WIBCA Hall of Fame

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