Nomination Form

Please complete the following information to nominate an individual for Hall of Fame consideration.

Nominator's First Name

Nominator's Last Name

Address (Line 1)

Address (Line 2)

City

State

Zip

Phone

Hall of Fame Club Member

Category for Consideration

Nominee's First Name

Nominee's Last Name

Nominee's Street Address

Nominee's City

Nominee's State

Nominee's Phone Number

Nominee's Email Address

Nominee's Birthdate

Nominee's High School

Nominee's Graduation Year

Points Scored in High School

Include points scored in freshman, sophomore, junior and senior seasons.

Points Scored in College

Include points scored in freshman, sophomore, junior and senior seasons.

College or University Attended

College Graduation Year

Honors/Achievements

Include All-State, All-American, All-Conference or other honors or achievements made in high school or college and the years in which they occured.

Professional Career History/Stats

Civic/Community Awards

Additional information/comments

Nominee headshot

Please sumbit a headshot of the nominee if available.

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