ATHLETIC HALL
OF FAME
NOMINATION
& EVALUATION FORM
THIS FORM MUST
BE SUBMITTED TO THE
NOMINATED BY: ____________________________ DATE NOMINATED: ____________
YOUR PHONE #: _______________________________
NOMINEE’S
NAME
(INCLUDE MAIDEN NAME): _______________________________________________________
FAMILY CONTACT IF NOMINEE DECEASED: ____________________________________
HOME ADDRESS: __________________________________________________________________
TELEPHONE HOME: __________________________ BUSINESS _______________________
DATE
OF GRADUATION FROM
ATHLETIC ACCOMPLISHMENTS WHILE IN HIGH SCHOOL: _____________________
COLLEGE OR UNIVERSITY ATTENDED: _________________________________________
ATHLETIC ACCOMPLISHMENTS: ________________________________________________
PROFESSIONAL ATHLETIC ACCOMPLISHMENTS: _______________________________
COMMUNITY, CIVIC AND CHURCH CONTRIBUTIONS: __________________________
________________________________________________________________________
PROFESSIONAL ACCOMPLISHMENTS (NON-ATHLETIC):
** PLEASE ATTACH ADDITIONAL PAGE IF MORE
SPACE IS NEEDED **