ROCKFORD COLLEGE ATHLETICS HALL-OF-FAME

NOMINATION  FORM

 

Please check the appropriate category for your nominee:

 

qAthlete, Coach or Athletics Staff Member

-         Athletes must have received degree from Rockford College;

-         Must have graduated at least five years ago

-         Must have obtained a minimum of All-Conference/All-District honors (or equivalent);

-         Coaches and Athletics Staff Members may be nominated for successful records, contributions and/or distinction brought to Rockford College through their service to the school.

qSpecial Contributor

-         Could include anyone not included by the Athlete, Coach or Athletics Staff Member category;

-         Should be someone who has made a significant impact through their work in external areas related to the Rockford College athletics program (this may be a campus employee, fan, booster/donor, etc.).

 

NOMINEE’S NAME:

                   

YEAR GRADUATED:

 

ADDRESS (if known):

 

SPORT(s) PLAYED:

 

 

 

 

 

 

 

 

 

PHONE (if known):

 

 

 

 

ATHLETIC HONORS & AWARDS (please be as specific as possible):

 

 

 

 

 

 

ACADEMIC HONORS & ACHIEVEMENTS:

 

 

 

 

NOMINEE’S WORK/ACTIVITIES/ACHIEVEMENTS SINCE GRADUATION:

 

 

 

 

 

 

PERSONAL STATEMENT AS TO WHY YOU FEEL THIS PERSON DESERVES CONSIDERATION FOR THE ROCKFORD COLLEGE HALL OF FAME:

 

 

 

 

 

 

YOUR NAME:

 

PHONE #:

 

ADDRESS:

 

E-MAIL:

 

CITY, STATE, ZIP:

 

 

 

SIGNATURE:

 

DATE:

 

 

 

Return to: Kristyn King, Director of Athletics, Rockford College, 5050 E. State St., Rockford, IL  61108

or via fax: (815) 226-4166