SAN FRANCISCO STATE UNIVERSITY GATOR HALL OF FAME OFFICIAL NOMINATION FORM

Nominee Personal Information

Full Name Class Year Address

City State Zip Code

Home Phone

Work Phone E-mail Company/Business Address
Birthdate
Birthplace

Nominee Athletic Information

Sport

Coach

Position(s)

Years Played

Second Sport

Coach

Position(s)

Years Played

Athletic achievements/records:

Academic Achievements/awards or contributions:

Special qualities and interesting facts about the nominee:

Post College Achievement/Volunteer Contributions:

Nomination Submitted by

Address

Home Telephone

Work Telephone

***AOL Users should print out this form and fax it to SF State's Athletic Department at (415) 338-1967.