Athletic Hall of Fame - Athlete Nomination Form

Athletic Hall of Fame - Athlete Nomination Form
Nominee's Name*

First NameLast Name
Nominee's Graduation Year*
Nominee's Phone Number*
Please enter a valid phone number.
Nominee's Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Nominee's E-mail Address*
example@example.com
Athletic Participation & Accolades

In the field below, please note the varsity teams the nominee participated on, the years that they participated, whether they were a captain and whether they were an all-star. If they were neither a captain nor an all-star, you do not need to include it. You will have an opportunity to elaborate upon the nominee's contributions in the next section.

Example:

Soccer - 2007-2009 - Captain - All Star

Field Hockey 2008-2009
Varsity Teams, Years Played, Captain & All-Star Selections*
Example: Soccer - 2007-2009 - Captain - All Star, Field Hockey 2008-2009
Please provide as much information as possible which may prove helpful to the selection committee. Include the following: any individual athletic statistics that might be appropriate; all high school and college activities and accomplishments; community service and professional achievements; and any additional noteworthy information. Every little bit helps.*
Nominator's Name*

First NameLast Name
Nominator's Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Nominator's Phone Number*
Please enter a valid phone number.
Nominator's E-mail Address*
example@example.com
Should be Empty: