USCAA Hall of Fame Nomination

Question Title

* 1. Nominator

Name

Institution

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Country

Email Address

Phone Number

Question Title

* 2. Hall of Fame Nominee

Name

Institution

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Country

Email Address

Phone Number

Question Title

* 3. Is nominee a Player, Coach or Meritorious Contributor?

Player

Coach

Meritorious Contributor

Question Title

* 4. Nominee's Institution(s)

Member Institution

Other Institutions

Question Title

* 5. Years Played, Coached, or Served

Started Career (Year)

Ended Career (Year)

Question Title

* 6. Playing/Coaching Record (if applicable)

Wins

Losses

Ties

Question Title

* 7. All-American Honors (if applicable)

1st Team Years

2nd Team Years

Honorable Mention Years

Question Title

* 8. Player of the Year Honors (if applicable list years)

Question Title

* 9. Coach of the Year Honors (if applicable list years)

Question Title

* 10. All-Academic Honors (if applicable list years)

Question Title

* 11. National Championship Appearances (if applicable list years)

Question Title

* 12. National Championship Wins (if applicable list years)

Question Title

* 13. Achievements of Nominee Post Career

Question Title

* 14. For Meritorious Contributors, please detail contribution, positions held and honors received:

Question Title

* 15. Upload Letter of Recommendation

DOCX, DOC, JPEG, GIF, JPG, PDF, PNG file types only.

Choose File

Question Title

* 16. Upload Stats for Coach or Player

DOCX, DOC, JPEG, GIF, JPG, PDF, PNG file types only.

Choose File

Question Title

* 17. Upload Photo of Nominee

PDF, JPEG, JPG, PNG, GIF file types only.

Choose File