Nomination Form for UMC Athletic Hall of Fame
Thank you for nominating a team or an individual for the University of Minnesota Crookston Athletic Hall of Fame. Please read the qualifications listed below and supply the selection committee with the information requested, along with this completed form.

Remember that some of the selection committee members may not know the person you have nominated, so the more complete the information you provide, the more objective the selection process will be. The deadline for returning this information is March 15.

For more information on nominee qualifications, please visit our Athletic Hall of Fame official page -
Nominee's Name
Nominee's Current Address
(if available)
Nominee's Telephone Number
(if available, with area code)
Approximate dates of participation at/or services to U of M Crookston
Select Appropriate Category
Clear selection
Nomination Support Data
(please be complete as possible)
Sport(s) Participated in or Coached
Individual Honors Received
Team Honors Received
Please list an additional reference in support of Nominee
If "Honorary" or "Athletic Staff," your reasons for making the nomination
Nominator Information
Nominator's Name
Nominator's Address
Nominator's Phone
(with area code)
Nominator's Email Address
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