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 *

* required field