Nominator Information
Email Address:
Phone Number:
Nominee Information
Mailing Address
Zip Code:
Collegiate Career 
Graduation Year:
Sport(s) Played:
Years Played:
Varsity Letters:
Team Accomplishments: Team records, conference championships, NCAA championship appearances, etc.
Individual Athletic Accomplishments: All-conference awards and level of award (1st-team All-UAA, NCAC Player of the Year, etc.), national awards and level of award (1st-team All-American, 2nd-team all-region, etc.), department awards (Hoza Award, Nip Heim Award, etc.)
Individual Academic Accomplishments: Academic All-American, Academic All-UAA, scholar-athlete, etc.
Campus Activities: Fraternities, sororities, student government, service organizations, etc.
Postgraduate Career
Addtional Education: List institution, level of degree and year
Postgraduate Athletic Achievements:
Working Career: Positions held, companies, years, current position, retired, etc.
Additional Information:
  Any additional information about collegiate or postgraduate career that you would like taken into consideration