Hall of Fame Nomination Form | Georgia State Golf Association

Deadline for submission of completed nomination forms for the following induction is March 15. If you have any questions, please contact Kim Crisp.

* Fields are mandatory and exceptions can be considered by the committee.

Nominee Information

Name *

First Name

Last Name

Address *

Street Address

Address Line 2

City

State / Province / Region

Zip / Postal Code

Phone *

Area Code

Phone Number

Select Phone Type *

Email *

Date of Birth *

Month

Day

Year

Place of Birth *

Please select whether the nominee is living or deceased: *

Date of Death (if applicable) *

Month

Day

Year

High School Attended *

Years *

College Attended/Degree *

Years *

Number of years as a Georgia resident *

Past and Present Club Memberships (including years) *

Nominated By:

Your Name *

First Name

Last Name

Your Address *

Street Address

Address Line 2

City

State / Province / Region

Zip / Postal Code

Your Phone *

Area Code

Phone Number

Your Email *

Your Relationship to Nominee *

Is the nominee aware of your nomination? *

Yes
No

Your Signature *

Type your name to sign

Date *

Month

Day

Year

Amateur Golf Record

Professional Golf Record

Golf Honors and Awards (other than tournament records)

Golf Associations (include offices held)

Contributions to golf other than as a player

Additional background information