Halls of Fame Nomination - Southwestern College

Academic Nomination Ballot

Please verify Hall of Fame nomination criteria before submission.

Note: This form is for Academic Halls of Fame. To submit a nomination for the Athletic Hall of Fame, please use the Athletic Hall of Fame Nomination Form.
Person being nominated:*

First NameLast Name
Academic Hall of Fame for nomination:*
This nominee is a:*

Southwestern College AlumLong-time Faculty at SCFriend of Southwestern College
Graduation/Affiliation Year:
Years on Faculty:
Years involved with SC:
Significant Achievements and Accomplishments of Nominee in their field:*
Your Information
Your Name:*

First NameLast Name
E-mail:*
Phone Number:*

Area CodePhone Number
Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Nomination Date:*

MonthDayYear
Should be Empty: