Please complete as many fields as possible on the form below. The more information provided here, the better chance your nominee has of being considered for induction.

Nominee:

 

Year:

 

Wesleyan Affilation:

 

Category:

 

Athlete

 

Coach

 

Contributor

 

Team

 

Sports/Sports Association/Other:

 

Records/Honors Earned/Stats:

 

How, specifically, has this Nominee brought distinction through athletics to the University and him/herself?

 

Nominator:

Name:


 

Email:

 

Phone:

 

Affiliation: