Fitchburg State University - Hall of Fame Nomination Form

* Required fields

*This nominee is a:

individual athlete

team

other

*Nominee:

*Class Year:

*Address:

If deceased, name and address of next of kin

*Phone:

Email:

Sport(s) played, including years:

Position(s) held, including years:

Athletic records or achievements while at Fitchburg State:

Post-college athletic records or achievements:

Non-athletic personal or professional accomplishments:

Nominating Party

*Nominating party:

*Class Year:

*Relationship to nominee:

*Address:

*Phone:

Email:

Additional information such as newspaper clippings, letters of support, or resumes may be uploaded here.