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Union College Athletic Hall of Fame Individual Nomination Ballot

                               

Nominee ___________________________________________________________________

Nominee’s Home Address _____________________________________________________
 
City _______________________________ State _____________ Zip __________________
 
Home Phone ________________ Business Phone _________________ Email ___________
 
Division of Nomination: { Student-Athlete  { Coach  { Administrator  { Alumnus
 
Class of _______________ Sport(s) __________________ Department _________________
 
Distinguishing Contributions/Achievements:
___________________________________________________________________________
 
___________________________________________________________________________
 
___________________________________________________________________________
 
___________________________________________________________________________
 
___________________________________________________________________________
 
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___________________________________________________________________________
 
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Submitted by (please print) ____________________________________________________
 
Signature ____________________________________________ Date __________________
 
Submitters Phone __________________________ Submitters Fax _____________________

Address____________________________________________________________________
 
Email____________________________________
 
The nomination form, a short resume/bio and letter of recommendation are to be mailed to Director of Athletics, Union College, Alumni Gym, Schenectady, NY 12308 or faxed to (518) 388-6096.