SUNY Adirondack Hall of Fame Nomination Form

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First Name *

Last Name *

Maiden Name

Class Year

Address

City

State

Zip

Phone Number

Cell Number *

Email address *

Employer

Job Title

Business Phone

List of Athletic Honors/Achievements/Accolades *

SUNY Adirondack alumni must have completed at least one full season as an athlete and not been enrolled for more than five years. In addition, honorary nominations for notable faculty, coaching staff, administration, contributors and supporters who have had an impact on the athletic department are all eligible for consideration. Athletic accomplishments at SUNY Adirondack and after (if any), Athlete’s impact on the college and athletic department, Scholarly achievements

Nominator Name *

Nominator Email *

Nominator Cell Phone *

* required field