University of Wisconsin-Whitewater - Student Athlete Nomination Form

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Student Athlete Nomination Form

Whitewater Athletic Hall of Fame

To be nominated for the UW-Whitewater Athletics Hall of Fame please fill out the following form.

General Information

Name:
Address:
City:	State: ZIP:
Phone Number:
E-mail:
Graduation Date:
Major:

UWW Athletic Record

Sports Played:
Years:
Letters Earned:
Championships:
Honors Earned:

Employment History(Military Service Included)

Employer/Position:
Location:
Years:
Special Achievements:

Community Service

Activities:
Dates:
Accomplishments:
Awards:

High School Athletic Record

School Name/Location:
Sports:
Years:
Letters Earned:
Championships:
Honors Earned:
Other Info: