Hall of Fame Nomination Form
Email address *
Name of the person you would like to nominate?
Current Position of Nominee?
Home Address, Phone Number, and Email of the Nominee?
Is the Nominee Living or Deceased?
Category you are nominating them for?
Student/Athlete, Friend/Special Contributor, Group/Team, Coach Administrator, Other Considerations
Sport(s) nominee played/coached/administered/supported (if applicable) and the number of years involved wit the program(s). (Please specify the years the nominee was affiliated with Jefferson) ?
Special contributions/accomplishments, while involved with the athletic program, during his/her years at Jefferson?
Reason for nomination: (Please include summary of why you feel this person(s) should be considered for the Jefferson Community College of Hall of Fame. Add any additional information to support this is necessary.
Other person(s) to contact for more information about the nominee (include contact information):
* = required field