Hall of Fame
 
Illinois State Athletics Percy Family Hall of Fame
 
 
Hall of Fame Nomination Form

Nominee's Information
First Name
 Middle Name
 Last Name
Address
City
 State
 Zip
Phone
 ISU Alum
 Year Graduated
Current Employer & Position
Spouse's Name
Under what category does the nominee qualify for consideration?
(See criteria for membership selection.)
Please provide a short statement explaining why you think the nominee should be inducted into the Hall of Fame.
The nominee's resume must be submitted in order for this nomination to receive full consideration.

Mail resumes to:
Illinois State University
Athletic Media Relations
Attn: Todd Kober
7130 Campus Box
College at Delaine
Normal IL 61790-7130
Submitter's Information
First Name
 Middle Name
 Last Name
Address
City
 State
 Zip
Phone
 Email
Verify characters: