CAS-CIAC Hall of Honor Nomination Form
The CAS-CIAC Hall of Honor was founded in 2015 to recognize and honor individuals who have made significant and outstanding contributions to the organization over the course of their careers.

Individuals will be considered for their efforts in one of seven categories that make up CAS-CIAC:
Educational Leadership
Athletic Leadership
Friend of Education
Contribution to Education
Contribution to Athletics
Service to Education
Service to Athletics

Please complete the information requested below to submit for any worthy nominee. You may be contacted for additional information
Name of Nominee *
Your answer
Nominee affiliated school or organization *
Your answer
Is this a posthumous nomination *
Nominee's primary role with CAS-CIAC *
Estimated length of service to organization
Your answer
Provide brief summary of nominee's contributions/involvement with CAS-CIAC *
Your answer
Nominee's address/phone/email (if known, please provide any known contact information)
Your answer
Nominator's name *
Your answer
Nominator's email *
Your answer
I confirm the information provided is accurate to the best of my knowledge *
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