Brandeis Hall of Fame Nomination Form

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Nominee *

Year of Graduation *

Sport (s) *

Athletic Achievements *

Please list as many of the nominee's signficant athletic achievements from his/her Brandeis careers as possible - awards won, records set, etc.

Other Accomplishments *

Please use this space to discuss any off-the-field or post-Brandeis accomplishments.

Other Comments

Please use this space for any other thoughts you have about the nominee.

Nominee Contact information

If you have contact information for your nominee, please include it.

Email address *

First name *

Last name *

Address 1

Address 2

City

State

Your relationship to nominee *

* required field

FOBA