EOU Hall of Fame -
Meritorious Service Nomination Form

Name of Individual or Group
Contact Name (if Group)
Address
City / State
Zip Code
Home/Office Phone
Email
Outstanding contributions to be considered:

Nominating Individual Contact Information
Nominating Individual
Address
City / State or Province
Zip/Postal Code
Work Phone
Home Phone
Email
Nominator's Relationship to EOU Athletics
 Alumni   Retired Faculty/Staff   Current Faculty/Staff   Friend   Other
(if other, please identify