Application

Is this application for yourself or a nomination for someone else?

Application for Myself

Nomination for Someone Else

Candidate's Name(Required)

First Last

Candidate's Address(Required)

Street Address Address Line 2 City State ZIP Code

Candidate's Phone

Candidate's Email

Graduation Class from Wes-Del (for Athletes)(Required)

Please enter a number from 1900 to 2059.

Please Fill in Full Year (Ex. 1975)

Education Completed (Include HS and any post-secondary training):

Sport(s) Participated In both during and after High School

Contributions to the field of athletics (for Coaches and Contributors)

List of Accomplishments, Awards and Recognitions both during and after High School

Family Information and Interests

Photo(Required)

Accepted file types: jpg, png, gif, Max. file size: 50 MB.

Please send a head and shoulder photo of yourself in either JPEG, GIF or PNG format.

Additional Comments or Information

Information of Submitter of Nomination

Submitter's Name(Required)

First Last

Submitter's Address(Required)

Street Address Address Line 2 City State ZIP Code

Submitter's Phone(Required)

Submitter's Email(Required)

Enter Email Confirm Email

Is the candidate aware they have been nominated?(Required)

Yes

No