All State/All America Nomination Form

The NSCAA will again sponsor a Large School and Small School All State team this year.
Please complete the nomination form below.

In order to be a candidate, a player must:

Be selected 1^st Team All League
Be nominated to the All-State Team by your league
Have a coach who is a member of the NSCAA

Return to:
Matt Hill                                         Phone: 1-607-368-3175
7249 County Route 13             Email: mhill@bathcsd.org
Bath, NY 14810

Return by: October 30^th, 2010

All America Nomination Form : Secondary School, Boy’s

DIRECTIONS: This is the way the player’s name, school, and team will appear on the Certificate. This form must be typed, neat, and accurate.

PLAYER DATA

Player’s First Name ___________________ Middle__________________ Last ___________________
Complete School Name _________________________________________________________________
School Location: City______________________________ State _______________
Player’s Position (G/D/M/F) ______________ Grade Level in School _________ (9, 10, 11, or 12)
Previous Appearances as an All-American (1, 2 or 3) ________

PLAYER’S HOME ADDRESS

Street ____________________________________________ City ______________ State _____ Zip ______
Phone (________) _______-_______________
Email: _________________________________

COACHES DATA

Coaches’ First Name: ______________________     Coaches’ Last Name: _______________________
NSCAA Membership Number: ______________       NSCAA Region: __________________________

Coaches School Address: Coaches Home Address:
Street: ________________________________         Street: ________________________________
City: ________________________________            City: ________________________________
State: _________________ Zip: ___________           State: _________________ Zip: ___________
Phone: (_______)-_______-___________                  Phone: (_______)-_______-___________
Fax:    (_______)-_______-___________