Hall of Fame Nomination Form - Butler County Community College

Email address *

Cell Phone Number *

Last name *

First name *

Nomination Category

Student Athlete Team Coach/Administrator Contributor

Nominee Information

Name/Team *

Home Address

Phone Number *

Email *

BC3 Years of participation and degree (if applicable)

Sports Played

Head Coach

Head Coach Phone (if known)

Reasons for nomination. Summarize why you feel this person/team should be considered:

Special contributions/accomplishments, while involved with the athletic program, during his/her (team) years at BC3:

Please include any additional information related to potential Hall of Fame consideration for accomplishments subsequent to BC3 either athletic, professional or personal.

Please email Alayna Chizmar alayna.chizmar@bc3.edu any other relevant documentation that would support the nomination (i.e. newspaper clips, certificates, game programs, etc.)

* required field