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Athletic Hall of Fame Nomination

Please complete this form to let us know about a deserving athlete or coach from Concordia Lutheran High School who should be inducted into the Athletic Hall of Fame.

Individual nominees must have graduated at least 10 years ago, teams must have competed at least 15 years ago, and coaches must have finished coaching at least 3 years ago.

Required fields marked with an asterisk *

Nominee's Information

Name*

Answer required for "Name"

Is this person a... *

Answer required for "Is this person a... "

Concordia Alum/Athlete

Former Coach

Other:

Date of Birth

Answer required for "Date of Birth"

Answer required for "Email"

Phone

Number Required

Graduation Year (if Concordia alumni)

Number Required

Is this person deceased?

Answer required for "Is this person deceased?"

Yes

Outstanding Athletic Accomplishments*

Answer required for "Outstanding Athletic Accomplishments"

College Attended and Graduation Year (if known)*

Answer required for "College Attended and Graduation Year (if known)"

Present Occupation*

Answer required for "Present Occupation"

Occupation History*

Answer required for "Occupation History"

Occupation or Club Membership*

Answer required for "Occupation or Club Membership"

Service to Concordia Lutheran High School*

Answer required for "Service to Concordia Lutheran High School"

Nominator's Information

Your Name*

Answer required for "Your Name"

Email*

Answer required for "Email"

Phone*

Number Required

Confirmation Email

Confirmation Email *

Answer required for "Confirmation Email"