NOMINEE INFORMATION

(Please include as much information as you can about the nominee)

Name       

Current Address 
City     State     Zip Code
Phone                E-mail Address 

Hometown   

Years at SCC 
Current Occupation                              Current Employer   

Work Address 
City     State     Zip Code

Parent's Names 

 

Primary Sport                      Head Coach 
Position/Events                    Years Played 

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Other Sport(s)                     Head Coach 
Position/Events                    Years Played   

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ATHLETICS & ACADEMIC ACHIEVEMENTS

Athletics Awards/Accomplishments:

Key Statistics/Records:

Academic Achievements:

Other Special Qualities:

Post-Collegiate Achievements:

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NOMINATOR'S INFORMATION

Name       

Current Address     
City         * State         * Zip Code    
Phone                    * E-mail Address     

Relationship to Nominee 

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