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