Hall of Fame Nomination Form

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Please fill out one form for each nominee. Thank you.

Nomination Deadline

October 15th of every year

Region IV Hall of Fame Committee Members

Karen Wiley - ISCC
Doug Spiwak - N4C
Pete Norman - Arrowhead
Steve Ruzich - All colleges not in a conference
Wally Reynolds - Chair
Harry McGinnis - At-Large Voting Rep

Additional award information

The committee ranks all of the candidates and after accumulating all the committee vote totals, with rankings, the committee then votes on the cut-off point, for that year's induction. At this time there is no annual induction limit. Previous nominations, those not voted-in, must be re-submitted each year to be re-considered. Nominations do not have to come from an individual’s or teams own institution. A recognition plaque will be presented to all individual inductees. Teams will be recognized with a plaque that will be presented, in some fashion, and then displayed at their college.

Select the appropriate nomination category(s) *

Administrator Coach Student-Athlete Region IV Contributor / Friend of Sport Lifetime Achievement (Recognition for Lifetime athleticand/or non-athletic achievement Team

If you selected Student-Athlete and/or Team above, was the team/individual a national champion?

Yes No

If the Student-Athlete or Team was a national champion, what year?

Nominee *

Nominee Address *

Address, City, State, Zip

Nominee Email Address *

Nominee Phone Number *

Region IV College and/or Business of Nominee *

Nominee Bio *

Name of person nominating the candidate *

Position of the Nominator *

College of Nominator *

Nominator Phone Number *

Email address *

* required field