Athletic Hall of Fame
2012 Hall of Fame Nomination Application
https://admin.xosn.com/attachments1/114927.pdf
Name of Nominee (First/Middle/Last):__________________________________________________________
UAlbany, Class of:__________________ Years of participation (e.g. 1976-80):_________________________
Varsity sports participation while at Albany (years):_______________________________________________
Year(s) nominee earned a letter:_______________________________________________________________
Current Address: ___________________________________________________________________________
Home Telephone: ( ) ____________________________ Work Telephone: ( )_______________________
E-Mail Address: ____________________________________Fax: ( )________________________________
Marital Status / Name of Spouse:______________________________________________________________
Children's Names and Ages:__________________________________________________________________
Please be specific with honors and dates (i.e. All-American, Associated Press second team 1969, etc.). Also include any additional material, which would support the nomination (i.e. newspaper clips, game programs, school records, individual and/or teams, testimonials from former coaches, players, a photo of yourself as a student-athlete, etc.). Attach additional pages if needed.
Outline accomplishments in varsity sports (highlight details such as statistics and honors):
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Postgraduate Athletic Experience: _____________________________________________________________
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Present Status (employed, retired, etc.): ________________________________________________________
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Other Relevant Information: ___________________________________________________________________
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Recommended By
Name: ____________________________ Address:________________________________________________
Phone Number: ( ) ________________ E-Mail Address:__________________________________________
Hall of Fame Nomination Application Deadline is February 1, 2012
Please forward this information and all nominations materials to Athletic Media Relations Office,
University at Albany, PE 307, 1400 Washington Avenue, Albany, NY 12222 or send via fax at, 518-442-3139.
