EmailMeForm
Athletic Hall of Fame Official Nomination Form
All required fields MUST be completed to be accepted. Required fields are denoted by an asterisk *. If you would like a hard copy form, please email Valentino Bryant at vbryant@shawu.edu.
Name
*
First
MI
Last
Suffix
Nickname/Maiden name while at Shaw University
Address
*
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Primary Phone
*
###
-
###
-
####
Primary Phone Type
*
Mobile/Cell
Home
Email
*
Highest Degree Received
*
Please select
Associate's Degree
Bachelor's Degree
Master's Degree
Doctorate Degree
N/A
Month/Year Degree Received from Shaw University
*
MM
/
YYYY
Month/Year Degree Received from Other University
*
MM
/
YYYY
Name of University
*
Major
*
Nominator's Name
*
First
Last
Please scan and email (see emails below) or upload the following:
File Upload
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