Sports Hall of Fame Nomination Form

A. Student Athletes

• Full Name *
• Maiden name in addition to married name
• Undergraduate name if different
• University/College:
• Faculty:
• Graduating year:

Address of nominee (if known):

• No./Street/Apt.
• Province/State
• City
• Postal/Zip Code

Intercollegiate sports played by the nominee at Concordia, Loyola and/or Sir George Williams:

• Sport:
• Years:
• Sport:
• Years:
• Sport:
• Years:
• Sport:
• Years:
• Achievements or awards at Concordia, Loyola and/or Sir George Williams:

B. Builder

• Full Name:*
  
• University/College:
• Faculty:

Address of nominee (if known):

• No./Street/Apt.
• Province/State
• City
• Postal/Zip Code
• Years of service
• Area of Service:
• Contribution to Concordia, Loyola and/or Sir George Williams:
• Achievements at other levels of competition (ie: National, etc.)

C. Team

• University/College:*

Address of team representative (if known):

• No./Street/Apt.
• Province/State
• City
• Postal/Zip Code
• Name of Team:*
• Year:*
• Achievements at Concordia, Loyola and/or Sir George Williams: