Dixie State College of Utah Athletics

Hall of Fame Nomination

NOMINEE INFORMATION:

Name of Nominee:
Sport Played:
Years Played:
Graduation:
Address:
City:
State:
Zip:
Phone:
Email:
Athletic Achievements:
Professional Achievements:
Civic or Professional Organizations:

NOMINITOR INFORMATION:
Accurate and substantial biographical data, sufficient for the committee to make an informed decision, must accompany this form. As appropriate, include a description of the nominee's accomplishments prior to, during, and after their association with Central Washington University. Include or attach supporting materials.

Name of Nominator:
Phone:
Email:
Address:
City:
State:
Zip:

Dixie State College Athletics

225 South 700 East, St George, UT
1-877-5GO-REBS