University of the Incarnate Word Athletics

Athletic Hall of Fame Nomination Form

Nominee:
Category:	Athlete, Sport Administrator, Position Coach, Sport Other,
Years at UIW:
UIW Degree(s) and Major:

CURRENT INFORMATION:
Mailing Address:
City / State / Zip:
Home Telephone:
Cell Telephone:
Work Telephone:
Email Address:
UIW ACCOMPLISHMENTS: Please provide a detailed account of the nominee's achievements while at Incarnate Word. List such items as team records and championships, individual honors, statistics, and records. Also include academic honors and organizations.
PROFESSIONAL INFORMATION: Please provide a detailed listing of work positions held since UIW including the names of companies and corporations, and of duties while there. Also, provide any professional-related organizations and any honors received.
COMMUNITY SERVICE: Please provide a detailed account of all involvement in community service-related activities. This should include the names of organizations and any special recognition received while involved with these groups.
IN SUMMARY: Please provide any additional information about this nominee not covered in the categories above. It is appropriate to add an endorsement statement in behalf of the nominee.