The MHSFCA Executive Board would appreciate nominations from high school football coaches for the Media Award
which will be presented at the Annual Awards Banquet in April. This award is presented to a media person who has
helped promote the sport of high school football.


NOMINEE: Name:______________________________________________________________________
                  Address: ___________________________________________________________________
                  Phone: ______________________________          Date:_____________________________
PRESENT WORK: _____________________________________________________________________
EDUCATION: High School:_______________________________________________________________
                     College: __________________________________________________________________

On a separate piece of paper please attach any information that you feel appropriate or any other personal reasons
why you feel that your candidate deserves the Media Award.
 

NOMINATOR: Name: __________________________________________________________________
                      Address: _______________________________________________________________
                      Phone: _____________________________________________________________
LOCAL SPORTS EDITOR'S NAME: ____________________________________________________
                          Address: _____________________________________________________________
Return this form by January 15th to: Peter Flynn, Billerica High School, 35 River Street, Billerica  MA 01821