Cal Aggie Athletics Hall of Fame - Nomination Form

Please fill out the following form as completely as possible. The deadline for nomination for the 2016-17 induction class is now February 15, 2017. Please note that any nomination submitted is good for a two-year span -- that is, if a candidate is not selected for induction in 2017, he/she will automatically be resubmitted for consideration for the 2017-18 induction class. If the candidate is not inducted in the second year, he/she will need to be resubmitted through the nomination process to receive further consideration.

Criteria and more information on the nomination policies for CAAHOF selection are listed here.

Thank you!

NOMINEE INFORMATION

Name:
Current Address:
City:
State:
ZIP:
Phone:
Email Address:
Hometown:
Degree:
Graduation Year:
Occupation:
Employer:
Work Address:
City:
State:
ZIP:
Parents' Names:
Birthplace:
Birthdate:
Primary Sport:
Head Coach:
Position/Events:
Years Played:
Other Sport(s):
Head Coach:
Position/Events:
Years Played:

ATHLETICS & ACADEMIC ACHIEVEMENTS List as many as you aware of. The UC Davis Athletics Media Relations office will verify/confirm specifics upon receipt of the nomination.

Awards/Accomplishments:

Key Statistics/Records:

Other Special Qualities:

NOMINATOR'S INFORMATION

Name:
Address:
City:
State:
ZIP:
Phone:
Email Address:
Relationship to nominee:

Thank you. Any additional supporting materials (e.g. letters, news clippings, etc.) may be sent to:
UC Davis Athletics Media Relations
120 Hickey Gym
One Shields Avenue
Davis, CA 95616

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GOAGS