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* Required fields
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*This nominee is a:
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individual athlete
team
other
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*Nominee:
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*Class Year:
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*Address:
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If deceased, name and address of next of kin
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*Phone:
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Email:
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Sport(s) played, including years:
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Position(s) held, including years:
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Athletic records or achievements while at Fitchburg State:
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Post-college athletic records or achievements:
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Non-athletic personal or professional accomplishments:
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Nominating Party
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*Nominating party:
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*Class Year:
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*Relationship to nominee:
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*Address:
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*Phone:
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Email:
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Additional information such as newspaper clippings, letters of support, or resumes may be uploaded here.
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