In addition to our “All Tournament Team” we will also be recognizing twelve competitors who have excelled, at not only wrestling, but also in academics, community and family involvement, and civic achievements. This “Wellstone Team” will be recognized during the tournament based on nominations by coaches, parents, wrestlers, and the media.

Paul Wellstone, a senator from Minnesota, and a 2000 inductee into the National Wrestling Hall of Fame, died tragically in an airplane accident just prior to the inaugural Clash wrestling tournament. He was a successful high school and collegiate wrestler who used his dedication and determination to excel in public service.

Feel free to use this form or any convenient format to answer the following questions. Coaches, parents, teachers, Athletic Directors, School Counselors, and the athletes themselves can nominate wrestlers for this award. Nominations can be sent via e-mail to: TheClash@matmen.org or via postal mail to: Dr Bonita Patton, 2534 Salem Road SW, Rochester, MN 55902 by December 16, 2005.

Name: _____________________________________________________ Date of Birth _____________

Address: ____________________________________________________ Phone #: ________________

City/State/Zip: _______________________________________________________________________

Current Grade Level: ____________________________ GPA (out of 4.0) ______________________

High School Wrestling Team: __________________________________ 2005-2006 Record: ________

1. Wrestling Accomplishments: (overall records, tournament finishes, freestyle and Greco results, etc). Be sure to include coaching and volunteer activities along with personal wrestling achievements.

2. School Activities: (clubs, student government, music, etc.) Include the name of the activity and his/her role in the activity.

3. Community and Volunteer Involvement: (non-profit groups, 4-H, Scouts, church) Include the name of the organization and his/her role in it and any accomplishments achieved within that organization.

4. Work Experience: Describe any jobs (part-time, full-time, paid, volunteer) held by the nominee, that you feel are relevant to this application (care for the elderly, baby-sitting, etc).

5. Other Relevant Information: Use this space to include any other information that you feel may be relevant to this application. Consider including any activities that you believe have 1) led to a more well-rounded individual, 2) served school, community, church, or family, 3) broadened his/her view of the world, 4) shown a willingness to lead, or 5) demonstrated a willingness to mentor others.

Signature: ___________________________________________________________________________