To nominate someone for Athletic Hall of Fame please print this form, complete the form & attach any additional information about the nominee, and return to the address at the bottom of this form.

EAST CENTRAL COMMUNITY COLLEGE

2008 NOMINATION FOR

ATHLETIC HALL OF FAME *

Name:_________________________________________ Maiden: ___________________________________

Years Attended: __________________________________ ECCC Graduation Date:______________________

Address:_________________________________________________________________________________

Phone: (work)________________________________ (home) ___________________________________

High School:_____________________________________ County: _______________________________

Sports Lettered In & Honors Received In Community College:_________________________________________

_______________________________________________________________________________________

College attended after ECCC:_________________________________________________________________

Sports Lettered In and Honors Received At Senior College/University Level:_______________________________

_______________________________________________________________________________________

_______________________________________________________________________________________

Work Experience:

Place                                                    Position                                     Dates

_______________________________________________________________________________________

_______________________________________________________________________________________

_______________________________________________________________________________________

Honors Received:__________________________________________________________________________

_______________________________________________________________________________________

_______________________________________________________________________________________

Attach additional information if needed. 

Name (of person submitting nomination) ___________________________/Maiden___________________

Address_______________________________________________________________________________

Phone (h)____________________ (w)_____________________

Years attended/graduated EC____________________________

Return to:          Alumni Association                               

East Central Community College           

P.O. Box 129                                       

Decatur, MS  39327-0129                     

601-635-2111, ext. 327      

Deadline:        July 01, 2008                                                                                                                                       

*Applications are good for two consecutive years.  Additional info about nominees is encouraged.  Attach info to this form.  Selection is based primarily on print materials received.