Hall of Fame Nomination Form

Please be as specific as possible. Fields marked with an asterisk (*) are required fields.

Nominee's General Information

Nominee Description:*

Student Athlete   Coach/Staff   Friend of the College

Name (including maiden)*
Street Address
City	State	Zip Code
Email Address*	Phone Number*

Nominee's Mac Information

Major	Minor	Graduation Year
Sports*

Athletic Awards/Honors:

Career Statistics/Records:

Academic Awards/Honors:

Campus/Community Involvement:

Nominee's Professional Career Information

Current Employer

Title

Career Highlights:

Professional Affiliations:

Campus Involvement:

Community Involvement:

Nominator Information

Name (including maiden)*			Class
Street Address*
City*	State*	Zip Code*
Email Address*	Phone Number*

Leave this field blank:

Upcoming Events

August 31 — 4 p.m. :
Women's Soccer Game vs. Buena Vista University
Storm Lake, IA

August 31 — 6 p.m. :
Men's Soccer Game vs. Buena Vista University
Storm Lake, IA

September 1 — 2 p.m. :
Women's Soccer Game vs. Northland College
Storm Lake, IA

September 1 — 4 p.m. :
Men's Soccer Game vs. Northland College
Storm Lake, IA

September 1 — 7 p.m. :
Football Game vs. Wartburg College
Waverly, IA

See all scheduled events.

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447 East College Avenue
Jacksonville, IL 62650

Office of Athletics
217-479-7142
athletics@mac.edu