HOF Nomination Form

Question Title

* 1. Name of Alumnus you wish to nominate

Question Title

* 2. In what areas has this Brother's efforts stood out?

Professional Achievements

Service to Mankind/Community/Country

Service to the Theta-Upsilon Chapter(Chapter & Alumni)

Service to the Kappa Sigma Fraternity

Service to Miami University

Other (please specify)

Question Title

* 3. Provide examples and justification for the nomination

Question Title

* 4. Provide additional justification (undergraduate service, personal qualities etc.)

Question Title

* 5. If needed... provide additional information here

Question Title

* 6. If available, please provide contact (mobile and email) information for your nominee so we can contact them.

Question Title

* 7. Your contact information

Name

Address

City/Town

State/Province

ZIP/Postal Code

Email Address

Mobile Number