National Junior College Wrestling Hall of Fame

NATIONAL JUNIOR COLLEGE WRESTLING HALL OF FAME

OFFICAL NOMINATION FOR WRESTLER

Please complete the following in detail and return to: NJCAA Wrestling HOF 1631 Mesa Avenue, Suite B

Colorado Springs, CO 80906

1. Name: ______

Last First Middle Nickname

2. Address: ______

3. Date of Birth ______Place ______Date of Death ______

4. The nomination is for distinguished achievement as a ______

5. Junior College attended ______Coach ______

6. City ______State ______

7. Junior College record: ______Years competed ______Final year of competition ______

8. Years National Champion ______Years All-American (place) ______

9. Special honors to Junior College ______

10. Four-year college attended: ______Years competed ______Record: ______

11. National honors: ______

12. International honors: ______

13. High School attended: ______Coach: ______

14. City: ______State: ______

15. Years competed: ______State Champion ______Record: ______

16. Outstanding athlete recognition: ______

17. Special honors: ______

18. List contributions: ______

19. Outstanding recognition (civic, business etc.) ______

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20. Newspapers interested in this nomination: ______

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List below additional personal information and reasons for this PICTURE

Nomination as it relates to wrestling and character.

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Honors: ______

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