City of Moncton Things to Do Sports Moncton Sports Wall of Fame Individual Nomination Form Individual Nomination Form Nomination Form – Individual Player/Athlete and Builder 506-853-3333info [at] moncton.ca (info[at]moncton[dot]ca) Instructions for nominating To nominate an individual please fill out the form and include as much background information as possible. This can include pictures, newspaper clippings, etc. While nominees do not need to reside in Moncton, they must have:Competed in a physical sport or athletic competition recognized by Sport New Brunswick’s list of provincial sports or by the New Brunswick Sports Hall of Fame.Helped to build the sport as a coach, official, or in another capacitySignificantly contributed to their sport or to the sporting community over an extended period of timeBeen considered outstanding in their sport or to the sporting communityALL NOMINATIONS MUST INCLUDE:Consent of the nominee or, if deceased, the family or appointed representative and their current addressTwo (2) letters of recommendation to support your nominationMaterial and photographs in support of the nomination - please ensure photos submitted are high resolution quality.All documents must be submitted to be considered for nomination.ELIGIBLE SPORTSAn eligible sport for the purpose of induction must fit into one or more of the following three criteria areas:It is physical, competitive and adheres to the standard rules of sport.It is, or has been, recognized on Sport New Brunswick’s list of provincial sports.A sport in which candidates qualify for induction into the New Brunswick Sports Hall of Fame.ELIGIBILITY OF NOMINATIONPLAYER/ATHLETES: The nominee must have participated in sport or athletic competition, which has brought distinction and honour to Moncton or has made a major contribution to the development and advancement of sport in the city.Athletes to be considered for admission must have been (or be) outstanding in their field of endeavour and/or have achieved better than average proficiency in a sport or a number of sports even if not reaching the absolute top level in any one. The label “outstanding” must be applicable over an extended period of time in competition against peer athletes. The nominee need not reside in Moncton. The nominee may be active or retired at the time of the nomination.BUILDERS: The term builder should be defined to illustrate candidates who have contributed to the development of sport as a coach, official, administrator, executive member, or in another capacity that has benefited athletes and/or the sport.The nominee must have attained a high level of excellence and brought recognition and honour to Moncton’s sport community through on-going dedication towards the development of players, teams or sport itself. The nominee need not reside in Moncton.The nominee may be active or retired at the time of the nomination. You must have JavaScript enabled to use this form. Nomination Form – Individual Player/Athlete and Builder Category nominated: Player/Athlete Builder PERSONAL INFORMATION Nominee's name in full: Nickname (if any) Place of birth Date of birth Complete mailing address Address City/Town Postal Code Email Telephone Dates of residency in Greater Moncton Education Public school High school University/Other Spouse's name Children's name(s) (ages bracketed) Present or most recent occupation If deceased, place & date Next of kin Relationship Complete mailing address Address City/Town Postal Code Email Telephone CAREER INFORMATION Competitive sports in which the nominee was involved as a player or builder Primary sport (list from - to dates): Secondary sport(s) (list from - to dates) PLAYER/ATHLETE NOMINEES ONLY If retired from competition, what was the last year in which the nominee competed? BUILDER NOMINEES ONLY What function best identifies the nominee's contribution to sport? Administrator Official Technician Coach Educator Organizer Sponsor Patron PLAYER/ATHLETE AND BUILDER INFORMATION Outline the nominee's contribution to the growth and development of sport in Greater Moncton. If applicable also outline their involvement at the provincial, regional and national levels. Personal awards/recognition (include dates and relevant information) e.g. Individual achievement awards, citations, certificates, conferred by community, provincial, national or international organizations, including admissions to Halls of Fame, etc. Difficulty in achieving success. Provide information to illustrate the nominee's personal commitment, and his/her perseverance on behalf of the sport. Include any unusual or difficult circumstances which have made the contributions noteworthy. Contribution over time. Provide information to illustrate the nominee's involvement with, and dedication to, sport over time. E.g. number of years service at each level, various positions held, etc. Personal qualities. Provide information on the nominee's leadership skills, character, sportsmanship, other areas of community service, and the ability to work well with others. Name of person/group submitting the nomination * Complete mailing address Address City/Town Postal Code Telephone * Email * Date I hereby declare that to the best of my knowledge all of the above information is accurate and correct. Please type name. * NOMINATION DEADLINE Nominations are accepted year round, however, those submitted prior to June 15 will be considered in that given year. All other submissions will be considered the following year. Relevant photos and materials are to be delivered, or mailed to: City of Moncton Att: Recreation Department 655 Main Street Moncton, NB E1C 1E8 506-853-3333 info@moncton.ca