Wartburg College Athletic Hall of Fame Nomination Form Nominator Information Name _________________________________________ Cell/Home Phone (________) ____________________ E-mail Address _______________________________________________________________________________
Nominee Information (* denotes required information) Name* ____________________________________________ Year of graduation from Wartburg* ___________ Sport(s) Played at Wartburg* ___________________________________________________________________ Address ____________________________________________________________________________________ City ______________________________________________ State ____________ Zip _____________________ Cell/Home Phone (_________) _____________________ Work Phone (_________) _______________________ Occupation _________________________________________ Employer _______________________________ Nomination Narrative* – Please describe why you believe this nominee is deserving of induction into the Wartburg College Athletic Hall of Fame based on selection criteria listed below. This narrative, along with statistics gathered by the Wartburg Athletic Department will be provided to the selection committee and will be instrumental in their decision making. (Use back if necessary.) ___________________________________________________________________________________________ ___________________________________________________________________________________________ ___________________________________________________________________________________________ ___________________________________________________________________________________________ ___________________________________________________________________________________________ ___________________________________________________________________________________________ ___________________________________________________________________________________________ ___________________________________________________________________________________________ ___________________________________________________________________________________________ ___________________________________________________________________________________________ ___________________________________________________________________________________________ ___________________________________________________________________________________________ ___________________________________________________________________________________________ ___________________________________________________________________________________________ ___________________________________________________________________________________________ ___________________________________________________________________________________________ ___________________________________________________________________________________________ Wartburg Athletic Hall of Fame Selection Criteria
Must be Wartburg graduates, but need not have done all of their undergraduate work at Wartburg. Must have graduated at least 10 years prior to the award year.
Must have been outstanding athletes at Wartburg as substantiated by All-Conference or All-American honors or career statistics. Must have demonstrated evidence of professional or personal achievement after graduation Must have made a contribution in the communities in which they have lived.
Return via email to:
[email protected] or via mail to the Wartburg College Alumni Office, 100 Wartburg Blvd., Waverly, IA 50677