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Athletics: Hall of Fame Nomination Form

All members of the Fitchburg State College community may submit nomination for the Athletics Hall of Fame. Please complete this form and submit it at the bottom. If you would rather mail in a nomination you can print this page out and mail the form to:

Athletic Hall of Fame
Fitchburg State College
160 Pearl St.
Fitchburg, MA 01420

Choose One: Student Athlete
Other

Name:

Class year:

Address:

City:

State:

Zip:

Sports(s):

Years Played:

Position(s) Played:

Fitchburg State athletic records/achievements held:

Other outstanding achievements:

Present occupation/employer:

Any additional information you would like to include in support of this nomination:

Your Name:

Your Class Year:

Your Address:

Phone:

Email: