HOF Nomination Form

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Individual Submitting Nomination: *

Nominator's Phone Number: *

Email address *

Nominator's Address: *

Full Name of Nominee: *

Please choose one of the following category for the Nominee: *

Player Leader/Coach Team

Nominee's Address: *

Nominee's Phone Number: *

Nominee's Email Address: *

Nominee's Present Employment:

If Retired, Date of Retirement

Nominee's Spouse or Closest Living Relative, With Address and Phone:

If Former Athlete, Years of Attendance/Participation at CCC:

Athletic Participation at CCC or Contribution to CCC Athletics (Please Give Details Concerning Athletic Career Including Sport(s), Campus, Records, Statistics, Etc)

Honors Won: (Please Give Complete Details of College and Post-College Honors, Awards, and Recognition Received as a Result of Achievements; I.E. Alll-American, All-Conference, Championships, Etc.)

Professional Affiliations and Achievements:

* required field