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Laker Athletics Hall of Fame Nomination Form

Indicates a Required Field
Date:
Your First Name:
Your Last Name:
Your Email Address:
Nominee Name (Individual or Team):
Current Position of Nominee:
Home Address of Nominee (Head Coach if Team):
City:
State:
Zip:
Email Address:
Cell phone number:
Work Phone:
Is the Nominee Living or Deceased?:
Living
Deceased
Sport Played:
Years Played:
Special contributions/accomplishments, while involved with the athletic program, during his / her (team) years at Iowa Lakes:
Special contribution / accomplishments (team members) since graduation or in career:
Community impact by community or team (give examples):
Reasons for nomination. Summarize why you feel this person (team) should be considered for hall of fame:
Other individuals to contact for more information about nominee (team). Please include contact information:
Verification Code:
Questions or comments? Please email us at info@iowalakes.edu or call 712-362-2604 or 800-521-5054.
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