Current time at Stony Brook 2:26 a.m. Tuesday, May 13, 2008
Stony Brook
WEB
 

Stony Brook University Athletic Hall Of Fame Nomination Form

TO COMPLETE THE NOMINATION PROCESS FOR THE STONY BROOK UNIVERSITY ATHLETIC HALL OF FAME, PLEASE COMPLETE AND RETURN THIS FORM ALONG WITH A CURRENT RESUME. BE AS COMPLETE AS POSSIBLE, WE CAN NEVER HAVE TOO MUCH INFORMATION.

NOMINEE'S FULL NAME:

PREFERRED NAME:

HOME ADDRESS:

CITY, STATE, ZIP:

HOME PHONE:

WORK PHONE:

EMAIL ADDRESS:

STONY BROOK UNIVERSITY, CLASS OF:

IF DID NOT ATTEND STONY BROOK UNIVERSITY PLEASE LIST SCHOOL

CLASS OF:

VARSITY SPORTS PARTICIPATION WHILE AT SBU:

OTHER PARTICIPATION WHILE AT STONY BROOK:

COLLEGIATE ACADEMIC HONORS:

DEGREE EARNED AND MAJOR:

ATHLETIC ACHIEVEMENTS:

PROFESSIONAL ATHLETIC ACHIEVEMENTS (OLYMPIAN, PROS, MINOR LEAGUES, ETC.):

POSTGRADUATE SERVICE TO THE UNIVERSITY COMMUNITY:

PRESENT STATUS (EMPLOYED, RETIRED, ETC.):

PROFESSIONAL HONORS:

ANY OTHER INFORMATION THAT WOULD BE USEFUL TO INCLUDE IN YOUR BACKGROUND:

RESUME:

Sponsored Links