Massachusetts High School Football Coaches Association
Nomination Form – Distinguished Service Award
The MHSFCA Executive Board would appreciate nominations from high school football coaches for the MHSFCA
Distinguished Service Award. The presentation of this award will take place at the Annual Awards Banquet in
April. This award is presented to a person who has helped promote the game of high school football in his or her
own way. It goes to a person who works beyond their normal job description to enhance the game.
NOMINEE: Name: _____________________________________________________________________________
Address: ___________________________________________________________________________
Phone: ______________________________ Date: _______________________________
PRESENT WORK: ___________________________________________________________________________
EDUCATION: High School: _____________________________________________________________________
College: _____________________________________________________________________
On a separate piece of paper please attach any information that you may feel appropriate of any other personal
reasons why you feel that your candidate deserves the MHSFCA Distinguished Service Award.
NOMINATOR: Name_________________________________________________________
Address:_______________________________________________________________________
Phone: _________________________________
LOCAL NEWSPAPER SPORTS EDITOR’S NAME:
_______________________________________________________________
Address:__________________________________________________________________________________
Phone: _______________________________________
Return this form by January 15th to: Al Costabile, Shawsheen Valley Technical HS, 100 Cook Street, Billerica, MA 01821
