Athletics HOF Nomination Form
Email
Secondary Email
There are errors with your form submission. Please review and submit again
Individual submitting nomination: *
Nominator's phone number: *
Email address *
Full name of nominee (please include maiden name, if applicable): *
Please choose one category for the nominee: *
Student-athlete
Team
Coach
Contributor
Nominee's phone number: *
Nominee's email address: *
Nominee's present employment (if known):
Years of attendance/participation at Moraine Valley: *
Athletic participation or contribution to Moraine Valley Athletics (please give supporting details concerning athletic career, including sport(s), records, statistics or specific contributions: *
Honors received (please give complete details of college and post-college honors, awards and recognitions received as a result of achievements, i.e., All-American, All-Conference, championships, Player of the Year, etc.): *
Professional affiliations or achievements:
Submit
* required field