Hall of Fame Nomination Form
Email
Secondary Email
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Nominee Information
Name *
Current Address *
Street Address *
City *
State / Province / Region *
Postal / Zip Code *
Phone Number
Email Address
Date Of Birth
Major
College Athletic Record
Sport(s) Played *
Year(s) Played *
Number Of Letters
Years As Captain
Individual Award(s)
Limit 500 Characters
School Record(s)
Limit 500 Characters
Team Honor(s)
Limit 500 Characters
Occupation
Current Occupation
Current Employer
Employer's Address
Street Address
City
State / Province / Region
Postal / Zip Code
Nominator Information
Email address *
First name *
Last name *
Address 1 *
Address 2 *
City *
State *
ZIP Code *
Cell Phone Number *
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