Athletics Hall of Fame Nomination Form

Established in 2003, the Hall of Fame recognizes and honors former outsanding UMass Boston and Boston State College student-athletes, coaches, administrators and friends of the athletics program for their accomplishments and services to the Division of Athletics and Recreation, Special Programs & Projects.  The names and honors of the inductees will be permanently displayed in the Clark Athletic Center.

Complete and submit this form no later than March 1 of each year for committee consideration.  
All boxes must be completed and form must be submitted by clicking the button at the bottom for nomination to be considered.

Candidate Being Nominated

Email address *
First name *
Last name *
Address 1 *
City *
State *
Cell Phone Number *
Institution Attending: *
Years Attended UMass Boston/Boston State: *
Must list all years candidate attended institution
Sport(s) Played: *
Position(s) Played: *
Coaches Name: *

Supporting Information

UMass Boston/Boston State Athletic Honors and Awards: (Please only list All-American, All-Region, All-Conference, Conference Player of the Week honors) *
Other Athletic/Academic honors and awards: (Codfish Bowl MVP, Senior Athlete of the Year, Scholar Athlete of the Year, etc.) *
Other achievements and honors (Post graduation from UMass Boston/Boston State College) *

Nominated by

Name: *
Phone: *
Address: *
City: *
State: *
Email: *
Relationship to Candidate: *

Additional materials, such as newspaper clippings, documents, photos, etc., may be included in support of the nomination.  Please provide copies and not originals since material will not be returned and send by mail or email to: 

Dave Walberg
Athletics Hall of Fame Committee
UMass Boston
100 Morrissey Boulevard
Boston, MA 02125-3393

* = required field