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
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