Longhorn Legend Nomination Form

Longhorn Legend Nomination Form
Nominator's Name

First NameLast Name
E-mail
Phone Number

Area CodePhone Number

Nominee Information
Name
(Please let us know if he/she is deceased)
Graduation year or years of service (if known)
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number

Area CodePhone Number
Email
example@example.com
Reason for Nomination
Should be Empty: