Massachusetts High School Football Coaches Association
    Nomination Form-Media Award


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