Induction Information Forn

Miles College Sports Hall of Fame
Nomination Form

* Indicates required field

Name *

First

Last

Date of Birth *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Cell # *

Home *

Email Address *

Current Occupation *

Years Employed *

Name of High School Attended *

Which sport(s) did you participate in High School? *

Did you receive a scholarship to Mile College? *

In which sport(s) did you participate while attending Miles College? *

Who were your Coach's? *

What position(s) did you play? *

What years did you participated in the sport(s)? (i.e.) 1972-1975 *

List awards and achievements (academic, athletic, etc.) *

List your community involvement since college: *

Why should you be considered for the Miles College Sports Hall of Fame *

Which category will the person be nominated into the Hall of Fame? *

To be nominated as an Athlete To be nominated as a Coach To be nominated as a Contributor

Who nominated the person? *

Return immediately to Mr. Chris Whisenhunt 1316 U. W. Clemon Drive Birmingham, AL 35214 205-529-8821

Submit