Wall of Honor Nomination Form

Please fill out the form below to make your nomination. All nominations received shall become part of the committee's permanent file. In some instances, the nomination will be held until the individual becomes eligible. If you would like to make more than one nomination, please submit one form at a time.

Nominee Information

Name of nominee:
TLC / TLU class year:
Address:
Address (cont.):
City:        State:   Select a State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
Zip Code:
Home Phone:
Work Phone:
Sports lettered in at TLU:
Special honors won while a participant, coach or athletics administrator (list honor and year received):
Why do you feel the person you are nominating for the TLU Hall of Honor should be selected? Please include any additional facts, figures, anecdotes or other material which will be of assistance to the selection committee:

Nominator Information

Your Name:
Address:
Address (cont.):
City:        State:   Select a State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
Zip Code:
Home Phone:
Work Phone:
E-mail Address:
Please click "Submit" only once. If you have problems with this form, e-mail us.