Northeast Sports Hall of Fame Nomination Form

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Northeast Mississippi Community College Sports Hall of Fame By-Laws/Nomination Criteria

Nominations may be submitted year-round, but nominations must be submitted no later than May 1st for nominees to be considered for the following fall induction.

Send any additional supporting documentation to:

Office of Student Services

Northeast Mississippi Community College

101 Cunningham Boulevard

Booneville, MS 38872

Email: vpofstudents@nemcc.edu

Name of Individual Submitting Form *

Also List Affiliation with Northeast

ZIP Code *

Email address *

Cell Phone Number *

City *

Address 1 *

State *

Name of Nominee *

Include First, Middle/Maiden, Last and Nickname (if applicable)

Is Nominee Deceased? *

If Yes, Please List Closest Living Relative

Phone Numbers of Nominee *

Home, Work and Cell (if applicable)

Home Address of Nominee *

Street or P.O. Box, City, State, Zip Code

Years Nominee Attended Northeast *

Accomplishments at Northeast *

List sports participated in, any special recognition and contributions to sports while a student/coach at Northeast

Senior College Accomplishments *

List sports participated in, any special recognition and contributions to sports at the four-year level

Professional Sports Accomplishments

List teams and dates with each franchise and any special recognition and contributions at the professional level

Non-Athletic Accomplishments at Northeast

Ex. Mr. Northeast, Tiger Award, Academic Awards, Who's Who

Non-Athletic Accomplishments After Graduation From Northeast

* required field