WASHBURN UNIVERSITY
ATHLETIC HALL OF FAME NOMINATION FORM
The Washburn University Athletic Hall of Fame was established to pay
tribute and give recognition to former student-athletes, coaches and others
who have made exceptional contributions to the athletic program at the
University.
Selection Criteria
1. Distinguished themselves as an athlete, coach or athletic administrator
at Washburn
• Athletes must be all-conference; All-America preferred
• Must have completed athletic competition ten years prior to current
academic year.
(Eligible are those who finished after 1996-97 season would be eligible
during 2007-08 school year.)
2. Accomplishment or contribution to a sport of such a high stature that
it is recognized and brought distinction and honor to those involved and
to Washburn University
• Olympic Medalist (Individual or Team Sport)
• United States Olympic Team Member
• World Record Holder (Recognized by National Federation)
• American Record Holder (Recognized by National Federation)
3. Other non-athlete/coaches may be considered who have made exceptional
contributions to the program
4. Unless deceased, will be present to personally receive award
5. The Selection Committee is empowered to make exceptions to the qualifications
if deemed necessary.
INDIVIDUAL SUBMITTING NOMINATION FORM:
HOME PHONE NUMBER
WORK PHONE NUMBER
CITY, STATE, ZIP CODE
E-MAIL ADDRESS OF NOMINATOR
INFORMATION ABOUT THE NOMINEE
Nominee for the Washburn Athletic Hall of Fame
Was the nominee a former student-athlete, coach, administrator or other
(if other, please specify)
Nominee's Current address - please include PO Box, city, state, zip
Nominee's Home Phone
Nominee's Work Phone
Nominee's Email Address
Nominee's Present Employment
Nominee's date of retirement if retired
If nominee is deceased, the date of death
Name of spouse
Years of attendance at Washburn
Year graduated (if more than one degree, please list as well)
Sport(s) played
ATHLETIC PARTICIPATION AT WASHBURN UNIVERSITY (Give complete details
concerning athletic career, including sport(s), years played, varsity
letters won, records, statistics, etc.):
HONORS WON (Give complete details of college and post-college honors,
awards and recognition received as a result of achievements; i.e. All-America,
All-Conference, etc.):
PROFESSIONAL AFFILIATIONS AND ACHIEVEMENTS
Additional information
All information must be submitted before the MAY 16TH deadline
Newspaper clippings, magazine articles and other support materials are
strongly encouraged and may be mailed to the Washburn Sports Information
Office.
All information received shall be retained by the Athletic Hall of Fame
selection committee
If nominee is inducted into the Athletic Hall of Fame, the nominee or
nominator is responsible for furnishing a mug shot photograph of the nominee
for committee use.
MAIL ALL MATERIALS TO:
WASHBURN UNIVERSITY
SPORTS INFORMATION OFFICE
1700 COLLEGE
TOPEKA, KS 66621
