Hall of Fame Nomination Form

Email Secondary Email

There are errors with your form submission. Please review and submit again

Nominee Information

Nominee Information

Individual or Team Nomination *

Individual Team

Email address *

First name *

Last name *

Address 1 *

City *

State *

ZIP Code *

Phone #

Deceased?

Team Nomination

Please explain why the team should be nominated for the Keuka College Athletics Hall of Fame

Education

College 1

Graduation Year

Major

College 2

Graduation Year

Major

College Athletic Record

Sport

Years Played

Years as Captain

Individual Honors

School Records

Team Honors

Sport

Years Played

Years as Captain

Individual Honors

School Records

Team Honors

Occupation

Current Occupation

Current Employer

Employers Address

City

State

Zip

Miscellaneous

Community Involvement

Please descripe any organizations or groups to which this person contributes or have contributed his/her time and talent. Please include any titles (i.e. president, chairperson) if applicable.

Post College Athletic Achievments

Please provide any additional information

Nominator Information

Name *

E-mail *

Phone # *

* required field