Hall of Fame Application

Email Secondary Email

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Email address *

First name *

Last name *

Address 1

Address 2

City

State

ZIP Code

Cell Phone Number *

Nominee Full Name *

Date(s) at BSC *

Nominee's Present Position/Occupation *

Nominee's Present Full Address *

(Include: City, State & Zip Code)

Nominee's Telephone *

(Cell)

Nominee's Telephone

(Home)

Nominee's Telephone

(Work)

Marital Status

(Include Name of Spouse if Applicable)

Children

(Include Ages if Applicable)

Date of Birth

If nominee is deceased please list date:

Nomination Category *

Athlete Coach Meritorious Service

Undergraduate Athletic Achievements *

(Honors, Accomplishments, Four-Year Letterman, All-Conference, etc.)

Undergraduate Academic & Extracurricular Activities *

(Please Include Major & Graduation Date, Fraternity/Sorority, Class Officer, Honor Society, etc.)

Professional Positions *

(List Most Recent First: Organization, Job Title, Year)

Professional Memberships & Honors *

Memberships in Community Organizations *

Other Accomplishments & Contributions *

Applications will open Feburary 1st of non-induction year and must be received by April 1st of induction year for full consideration.

Printable Version Here

By submitting an application, you attest that the information noted on this nomination form is accurate to the best of your knowledge. Providing false or inaccurate information may result in the diqualification of the application.

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