Region 19 Hall of Fame Nomination Form
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Name of Hall of Fame Nominee: *
Region 19 College Affiliation of Nominee: *
Years Played/Employed at Region 19 member institution:
Supporting Information for Nominee (Award, Accomplishments, etc.) *
Why should this individual be inducted into the Region 19 Hall of Fame?
Nominee Submitted and Vetted by: *
Email address *
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