Athletic Hall of Fame Nomination – Glen Oaks Community College

Athletic Hall of Fame

Full Name of Nominee:*

First Middle Last Maiden Name (if applicable)

Nominee's Full Address:*

Street Address City State ZIP Code

Nominee's Email Address:*

Nominee's Phone Number:*

Nominee Category:*

(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:*

Additional honors given to nominee:

Please justify, in detail, why the nominee is deserving of membership:*

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:*

First Last

Phone Number:*

Email Address:*

* Denotes required field

Nomination Form

Athletic Hall of Fame

Nominated By