Manatee Community College by iu85Q5Yw

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									                                State College of Florida
                                    Athletics Hall of Fame
                                         Nomination Form


Nominee Name:________________________________________________________________
Address: ______________________________________________________________________
City: ______________________________ State: _______________ Zip: ___________________
Phone: ____________________________ Email: _____________________________________
Category:
______ Student                                ______ Coach
______ Administrator                          ______ Friends


Complete all that apply to nominee:


Sport: ________________________________ Years played: ____________________________


Years of attendance/service at MJC/MCC/SCF: _______________________________________


Accomplishments/Awards (Individual and/or team, athletic and non-athletic) at MJC/MCC/SCF:
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
Athletic experience/accomplishments or achievements after MJC/MCC/SCF:
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
Most memorable moment at MJC/MCC/SCF: ___________________________________________
______________________________________________________________________________


Current position/employer:_________________________________________________________




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______________________________________________________________________________

Service to Lancer Athletics/MCC or Manatees Athletics/SCF:
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
Awards while at MJC/MCC/SCF: ___________________________________________________
______________________________________________________________________________
Other relevant information: (List any post-graduate career achievements of the nominee)
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________


                                           Nominated by:
Name: ________________________________________________________________________
Address: ______________________________________________________________________
City: ____________________________ State: _______________ Zip: _____________________
Daytime phone: ____________________ Home phone: ________________________________
Email: ________________________________________________________________________
Company: _____________________________________________________________________
Nomination Date: ___________________________________________________________
                               THANK YOU FOR YOUR NOMINATION




Please return this nomination to any of the following:
Fax: (941) 752-6182
Email: Meredith Headings at headinm@scf.edu or Matt Ennis at ennism@scf.edu
SCF Athletic Department: 5840 26th St. W, Bradenton, FL 34207




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