* 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.