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Distinguished Service Award Nomination Request Form

To be eligible for this award, the coach...

  » 1. Must be a member of the IHSGCA.
  » 2. Must have coached high school golf in Indiana for at least the past five years.
  » 3. Must have never received a Distinguished Service or Coach of the Year Award from the IHSGCA.

Please print and complete this form and deliver it using the proper contact information.



Request Form

Nominee's Name: ________________________________________
Home Phone: ________________________________________
School: ________________________________________
Sponsoring Coach's Name: ________________________________________
Sponsoring Coach's School: ________________________________________
Sponsoring Coach's Home Phone: ________________________________________
Contributions & Comments: ________________________________________
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Please make sure you have written above the contributions your nominee has made to high school golf and related activities. You may have also written any other comments that you feel make your candidate deserving of this award.

Bob Brothers
Canterbury School
Fort Wayne, IN 46804
260-435-7721 (school)