The University of Texas Permian Basin Hall of Fame Nomination Form
Nominations must be received no later than April 1 each year to be considered by the Hall of Fame Committee for induction that fall.
This nomination is for distinguishing achievement as a
*
Please Select
Student-Athlete
Coach
Team
Meritorious Service
Name of Nominee
*
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Email
*
example@example.com
Nominee Information
The University of Texas Permian Basin Accolades
Years at UT Permian Basin
*
Other College(s)/University(ies) attended
Sport/Area
Please Select
Baseball
Football
Men’s Basketball
Women’s Basketball
Men’s Cross Country
Women’s Cross Country
Men’s Golf
Women’s Golf
Men’s Soccer
Women’s Soccer
Softball
Men’s Tennis
Women’s Tennis
Men's Swimming & Diving
Women's Swimming & Diving
Volleyball
Athletics Staff
Contributor
Letter of Support(s)
Please feel free to attach your letter of support and/or additional letters of support. NOTES: You can add more than one file by clicking Browse Files again after the first file has uploaded.
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Nominator & Submission Information
Submitted By
*
First Name
Last Name
Date
*
-
Month
-
Day
Year
Date
Phone Number
*
Please enter a valid phone number.
Email
*
example@example.com
By signing below, I certify that all of the information provided on this nomination form is true and correct. I understand that the UT Permian Basin Hall of Fame Committee may verify information on this nomination and that deliberate misrepresentation could result in removal of this nomination submission.
Submit
Submit
Should be Empty: