Nomination Form

Athletic Hall of Fame
Full Name of Nominee: * Required
First Middle Last Maiden Name (if applicable)
Nominee's Full Address: * Required
Street Address City State ZIP Code
Nominee's Email Address: * Required
Nominee's Phone Number: * Required
Nominee Category: * Required
(please select at least one category)
- Student-Athlete
- Coach
- Team
- Administrator/Staff
- Special Category
Nominee’s sport(s) played/coached:
(if applicable)
Years nominee participated/coached in sports:
(if applicable)
Nominee’s contributions/achievements: * Required
Additional honors given to nominee:
Please justify, in detail, why the nominee is deserving of membership: * Required
Copies
Drop files here or
Copies may be submitted of booklets, brochures, clippings, articles, photos, and stories which present a more complete picture of the candidate’s qualifications or other information that is appropriate.
Nominated By
Name: * Required
First Last
Phone Number: * Required
Email Address: * Required
* Denotes required field

Athletic Hall of Fame