Nomination Form

Email Secondary Email

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An email address is required for the submission of this form, however if you don't have an email address please use this email: amartin@iowalakes.edu to submit form. Thank you for submitting a Hall of Fame nominee.

Email address *

Date:

Your Name (First and Last)

Your Email Address

Nominee Name (Individual or Team)

Please select one of the following to describe the nominee:

Student-Athlete Team Special Contributor

Current Position of Nominee

Home Address of Nominee (Head Coach if Team)

City

State

Zip

Email Address

Cell Phone Number

Work Phone

Is the Nominee Living or Deceased?

Living Deceased

Sport(s) Played/Contributed to

Years Played/Contributed to Iowa Lakes

Athletic participation at Iowa Lakes or special contributions to Iowa Lakes Athletics (Please detail specific athletic accomplishments/honors/awards or what contributions were made)

Special contribution / accomplishments since graduation, if applicable

Community impact by nominee or team (give examples)

Reasons for nomination. Summarize why you feel this person (team) should be considered for hall of fame

Other individuals to contact for more information about nominee (team). Please include contact information

* required field