Rutgers-Newark Scarlet Raiders - rnhof_nominationform.pdf
Rutgers-Newark Athletic Hall of Fame Nomination Form NOTE: Please forward all statistical data, list of honors, news articles, etc., which would support the candidate to Mark Griffin, Director of Athletics. Please send copies of information. All information becomes the property of the Rutgers-Newark Athletics Hall of Fame. (NOTICE: Nominations must be received by June 1, 2015, for consideration for the 2015 induction.)
DATE OF NOMINATION: ____________________________________________________________ FULL NAME OF NOMINEE: __________________________________________________________ CATEGORY (circle one): Athlete
Coach
Contributor
Sports Career
HIS/HER HOME ADDRESS: ___________________________________________________________ CITY, STATE ZIP:
__________________________________________________________
HOME PHONE:
______________________________ CELL PHONE: ___________________
E-MAIL ADDRESS:
_________________________________________________________________
YEAR OF COLLEGE GRADUATION:__________ COLLEGE/UNIV.: _______________________ DEGREE EARNED (i.e.; Bachelor of Science in sociology): ________________________________ SPORT(S) PARTICIPATED IN AT R-N:
_____________________________________________
YEARS (SEASONS) OF PARTICIPATION (i.e.; 1960, 1970-71): _____________________________ MOST SIGNIFICANT ATHLETIC HONORS:
_______________________________________
_____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ ADDITIONAL BACKGROUND & CAREER ACCOMPLISHMENTS:
___________________
_____________________________________________________________________________________ _____________________________________________________________________________________ PERSONAL COMMENTS/RECOMMENDATIONS REGARDING THE CANDIDATE:
______
_____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ NAME OF NOMINATOR (Please print/type):
_______________________________________
SIGNATURE: __________________________________________ DATE: PHONE NUMBER: ___________________________ E-MAIL ADDRESS: MAIL TO: FAX TO:
_____________
___________________
Mark Griffin, Director of Athletics Rutgers-Newark, 42 Warren Street, Newark, NJ 07102 973-353-1431 E-MAIL TO: [email protected]
DATE OF NOMINATION: ____________________________________________________________ FULL NAME OF NOMINEE: __________________________________________________________ CATEGORY (circle one): Athlete
Coach
Contributor
Sports Career
HIS/HER HOME ADDRESS: ___________________________________________________________ CITY, STATE ZIP:
__________________________________________________________
HOME PHONE:
______________________________ CELL PHONE: ___________________
E-MAIL ADDRESS:
_________________________________________________________________
YEAR OF COLLEGE GRADUATION:__________ COLLEGE/UNIV.: _______________________ DEGREE EARNED (i.e.; Bachelor of Science in sociology): ________________________________ SPORT(S) PARTICIPATED IN AT R-N:
_____________________________________________
YEARS (SEASONS) OF PARTICIPATION (i.e.; 1960, 1970-71): _____________________________ MOST SIGNIFICANT ATHLETIC HONORS:
_______________________________________
_____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ ADDITIONAL BACKGROUND & CAREER ACCOMPLISHMENTS:
___________________
_____________________________________________________________________________________ _____________________________________________________________________________________ PERSONAL COMMENTS/RECOMMENDATIONS REGARDING THE CANDIDATE:
______
_____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ NAME OF NOMINATOR (Please print/type):
_______________________________________
SIGNATURE: __________________________________________ DATE: PHONE NUMBER: ___________________________ E-MAIL ADDRESS: MAIL TO: FAX TO:
_____________
___________________
Mark Griffin, Director of Athletics Rutgers-Newark, 42 Warren Street, Newark, NJ 07102 973-353-1431 E-MAIL TO: [email protected]
