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CSM Hall Of Fame Nomination Form
Nominee's Name
Nominee's Current  Address
Address (cont.)
City
State
ZIP
Nominee's Telephone Number

Approximate dates of participation or service to CSM: 


Check appropriate category:

Athlete
Coach
Team
Other Service

Nomination Support Data
(please be as complete as possible)

Sport or sports participated in or coached:


Individual honors received:


Team honors received:


Meritorious service after leaving CSM: 
Nominator's Name
Date
Nominator's  Address
Address (cont.)
City
State
ZIP
Phone Number
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