WORCESTER STATE UNIVERSITY

ATHLETIC HALL OF FAME

NOMINATION FORM FOR 2016 INDUCTION CLASS

Please be as detailed as possible and include supportive information such as statistics and links to backup documentation. Names will not be considered without completion of a nomination form.

Categories

Alumni of the University – (Up to 5) Any alumna or alumnus who actively participated in athletics and brought recognition and honor to Worcester State through their outstanding achievements while a student-athelete. In order to be eligible for this award, five years must have passed since the alumna or alumnus's time of graduation.

Varsity Team – (One) Any team that has won a NCAA/ NCAA Regional or ECAC Championship. Massachusetts State College Athletic Conference (MASCAC) wins are not eligible as a sole contribution. The single exception shall involve New England State College Regional Conference Championships won prior to 1970. The team must have competed at least ten (10) years prior to the induction dinner at which they will be honored.

Honorary Inductee – (One) An Honorary Inductee may be an individual who may or may not possess a degree from Worcester State University. An individual who has demonstrated outstanding commitment and length of service as a contributor to athletics/sports through coaching, clinics, writing, organizations, support of Worcester State athletics, as an administrator, in volunteer work, or achievement in professional athletics or international sport organizations.

Please review the full criteria for eligibility at www.wsulancers.com/hall_of_fame

Please attach your remarks on the candidate you have nominated for the Athletics Hall of Fame and feel free to make multiple submissions of this form if you would like to submit another candidate(s) for consideration. Please include supportive information such as statistics and links to backup documentation. Deadline for nominations is Friday, May 22, 2015.

Please return the nomination form below and all written supporting documentation to:

Karen Sharpe, Executive Director ~ WSU Office of University Advancement

486 Chandler Street, Worcester, MA 01602 ~

NOMINATION FORM

Select ONE Category:

____ Alumni of the University

____ Varsity Team

____ Honorary Inductee

Name of

Nominee: Class Year:

Nominee’s Address:

Nominee’s Telephone Number and email (if available):

Sport(s):

Nominator’s Name:

Nominator’s Address:

Nominator’s Telephone Number:

Nominator’s E-mail Address:

It is required that you include a brief summary of the candidate’s qualifications in support of each nomination. Names will not be considered without a completed nomination form. The Athletic Hall of Fame Committee reserves the right to make its own independent inquiry and selects the inductee(s) for each year’s Hall of Fame Class.

4-2015