Athletic Hall of Fame Nomination Form

Date of Nomination
MM slash DD slash YYYY
Nomination Category*
You may choose more than one.
- Athlete
- Coach
- Team
- Special Contributors
About the Nominee
Name of Nominee*
First Last
Year of Graduation (if applicable)
Phone of Nominee
Email of Nominee*
Address of Nominee
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Sport(s) Played / Coached*
Number of Years Participated*
Honors / Awards / Special Achievements:*
For Teams or Coach
Year of Team Nomination
Team Members
Head Coach
Special Achievements
For Special Contributors
Area of Contribution
Number of Years as Contributor
Special Contribution
About You
Nominated by*
First Last
Year of Graduation (if applicable)
Phone*
Email*
Mailing Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
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About the Nominee