1) Enter if the candidate is nominated as a: Coach, Player, News Media, Official, Friend of Basketball, Team, or Career Coach (see criteria page for important selection criteria)

2) Candidate's Name:

3) Candidate's Street Address:

4) City, State and Zip Code:

5) Candidate's Phone Number:

6) High School(s) Attended:

7) College(s) Attended:

8) Current School or Business Affiliation if a player or coach.  News media, list the media:

9) Schools Coached at (most recent to first):

10) List all the pertinent information on your candidate: (e.g.: honors won or received, All State games and championships won, Journalism awards, regional, sectional, state tournaments, officials highlights, years coached or officiated, etc.)

11) Nominated by:

12) Street Address:

13) City, State and Zip Code:

14) Telephone Number:

15) Nominee email:

A photo of your candidate will also be required.  Send the photo to:
Chuck Rolinski
Box 372
Toluca, IL 61369