UMass Boston/Boston State College Athletics

Hall of Fame

Nomination Form

Nomination Category (if more than one, rank in order of importance)

___Student-Athlete ___Coach ___Contributor ____Team

Nominee Information

Last Name____________________________________First Name_______________________________

Home Address_________________________________________________________________________

City_____________________________________State__________________Zip____________________

Email address__________________________________________________________________________

Home Phone_________________________________Other Phone________________________________

Sport(s) ______________________________________________________________________________

Years Played__________________________________ Year of Graduation__________________________

Athletic Achievements___________________________________________________________________

_____________________________________________________________________________________

______________________________________________________________________________________

Additional Information___________________________________________________________________

______________________________________________________________________________________

______________________________________________________________________________________

Nomination Submitted by_________________________________________________________________

Phone______________________________Email address________________________________________

Please attach supporting documents such as copies of newspaper clippings, documents and photos.
It is the nominator's responsibility to provide all requested information by the deadline.
Late or incomplete nomination forms will not be considered.

Mail nominations by February 1, 2008 and supporting documents to:

UMass Boston Athletics

Hall of Fame Induction Committee

100 Morrissey Boulevard

Boston, MA 02125-3393

Or

Fax to: 617-287-7840