Hall of Fame Nomination Form

Nominator's Information

Email address *

First name *

Last name *

Address 1 *

City *

State *

ZIP Code *

Phone Number

Affiliation with Nominee

Nominee's Information

Name of Nominee

Sex

Sport(s)

Years Competed

Year of Graduation

Academic Degree

Notable Accomplishments

if available, include dates of achievements and honors

Reason for Nomination

the more specific, the better

Nominee's Contact Information (if have)

Street Address

City

State

Zip Code

Phone Number

Email

* = required field