University of Northern Colorado Athletic Hall of Fame Nomination Form

Name of Nominee: 
Address of Nominee (if known):
  

If deceased, name and address of relative:
  

Your Name:
Your Phone: 
Your Email:  

Category of Nominee:
 Athlete (Please complete Part One)
Coach/Administrator (Please complete Part Two)
Other Contributor (Please complete Part Three)

PART ONE (Athlete):
 Sport(s) Participated in: 
Years of Participation:  Year of Graduation:
Outstanding Accomplishments (Please be as specific as possible):
 

PART TWO (Coach/Administrator/Faculty):
 Position/Title:
Years of Employment/Service:
Outstanding Accomplishments/Contributions (Please be as specific as possible):
 

PART THREE (Other Contributor):
Outstanding Accomplishments/Contributions (Please be as specific as possible):