Hall of Fame Nomination Form

The nomination of individuals for induction is crucial to the Athletics Hall of Fame process. Please complete the following nomination form as thoroughly as possible. Please include any supporting documents, articles, statistics, etc.

The criteria for nomination include but are not limited to:

Nominee must have been an outstanding athlete, coach, or significant contributor to Ben Lippen Athletics.
Nominee must have graduated or separated from Ben Lippen at least 8 years prior to being selected.
Nominee must have demonstrated strong contributions to family and community life.
Nominee must exemplify the ideals of Christian faith in his or her life.
Other selection criteria for consideration should be, but are not limited to, professional contributions after graduation or service to Ben Lippen. These could include one’s Christian service, athletic service, community service, and/or civic service.

Nominator(Required)

First Last

Phone(Required)

Email(Required)

Nominee Information

Nominee(Required)

First Last

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone

Occupation

In what way(s) was the nominee involved with Ben Lippen Athletics?(Required)

Student-Athlete

Former Coach

Significant Contributor to Ben Lippen Athletics

Graduation Year (Alumni) or Years Involved in Ben Lippen Athletics (Coach or Contributor)

Number of Years Attended Ben Lippen School

Sports Participated

Year(s) of Participation

Awards and Honors Received

Game Statistics/Records

Post Season Play

Supporting Documents

Max. file size: 256 MB.