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    NC STATE ATHLETICS HALL OF FAME
    NOMINATION FORM

    ***Submission deadline March 1, 2015***

    Nominee (Individual or Team)

    Sport(s) & Years of Participation

    Year of Graduation

    Phone Number

    Email Address

    Mailing Address

    Nominator

    Nominator's Phone Number

    Nominator's Email Address

    Nominator's Mailing Address

    1. Nominee Awards (e.g. ACC Player of the Year; All-America honors)

    2. Nominee Records (e.g. 35-3 career record; 4th in Career Assist)

    3. Nominee Team Records (e.g. 4 NCAA Tournaments; 2 ACC Championships)

    4. Additional Information< (e.g. Personal Statement)

    A. Return completed Nomination Form to:
    NC State Athletic Hall of Fame Commiittee
    Campus Box 8502
    Weisiger-Brown Athletic Facility
    Raleigh, NC 27695-8502
    Fax: 919-515-3624
    Email: Annabelle_Myers@ncsu.edu

    B. No additional documentation, submissions or supplemental materials will be accepted.

    C. All completed Nomination Forms will be considered by the Hall of Fame Election Committee.

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