Husson University Sports Hall of Fame Nomination Form

Nomination Deadline is March 1st, 2018
Please complete all of the following with as much detail and as accurately as possible.
All information gathered with this form will be used for Husson University Sports Hall of Fame purposes only.
The Husson University Sports Hall of Fame Eligibility, Criteria and Process can be found here.

Nominator Information:


Name:

Mailing Address:

Daytime Phone No:

E-mail Address:


Designation of Membership Category:

Individual Membership  Athletic Administrator or Coach   Honorary Memebership Team Membership     

Nominee Information:

Name:

Mailing Address:

Daytime Phone No:

E-mail Address:

Additional Individual Membership Nominee Information Needed:

Specific School Years of Attendance at Husson:


Year Graduated From Husson:

Sports & Years Participated at Husson:


Additional Athletic Administrator/Coach and Honorary Membership Nominee Information Needed:

Specific School Years of Service at Husson:


Additional Team Membership Nominee Information Needed:

Sport Team and Year of Participation:


Please submit documentation such as news articles, press releases, year book, and other evidence to support the athletic accomplishments and awards shown below. Please send a copy of the documentation to Husson University, attn: Frank Pergolizzi, 1 College Circle, Bangor, Maine 04401.

Athletic Accomplishments:

Please give specific details of the nominee’s outstanding athletic achievements such as:  personal statistics, overall team statistics, any individual or Husson University records set by the nominee such as leading scorer or selection as team captain. For athletic Administrator/Coach and Honorary nominees give details of the nominee’s contributions to the University’s Athletic programs’ and athletes’ success. For teams nominated give specific details of the team’s record, conference championship and post season NCAA III tournament selection. Be sure to designate the year of these accomplishmentsNote:  If nominee participated in more than one sport, be sure to describe the achievements for each sport.



Athletic Awards Received by Nominee:

Please give specific details of athletic awards won and post season selection that reflects the nominee’s outstanding athletic achievements.  For example:  selection as an All American, All conference, MVP or all tournament team. For teams nominated give teams and individual players nominated for awards. Be sure to designate the year of these accomplishmentsNote:  if nominee participated in more than one sport, be sure to describe the achievements for each sport.

Non-Athletic Accomplishments by Nominee:

Give specific details of the nominee’s non-athletic achievements such as:  Academic honors such as Dean’s list; participating in other University committees and organizations, etc.

Current Status of the Nominee:

Please provide some information regarding the current status of the nominee; pertinent information includes family information, professional experiences and current whereabouts.