Hall of Fame Nomination Form

Nominee Name*

First Last

Nominee Address*

Street Address City State / Province / Region ZIP / Postal Code Country

Retired from Coaching*

Present Occupation

Present Employer

Institution Information

Institution/Affiliation*

Program Type*

Gender Coached*

Position Title*

Please select the title that best represents the position of the nominee. If nominee held multiple positions at one institutions, please represent those positions in separate coaching history sections.

First Year at Institution*

Final Year at Institution*

Cross Country Accomplishments

CC National Titles*

# of CC Titles

CC Top Ten National Finishes*

# of CC Top Ten Finishes

CC Conference Titles*

# of CC Conference Titles

Indoor Track and Field Accomplishments

Indoor National Titles*

# of Indoor National Titles

Indoor Top 10 Finishes*

# of Indoor Top 10 Finishes

Indoor Conference Titles*

# of Indoor Conference Titles

Outdoor Track and Field Accomplishments

Outdoor National Titles*

# of Outdoor National Titles

Outdoor Top 10 Finishes*

# of Outdoor Top 10 Finishes

Outdoor Conference Titles*

# of Outdoor Conference Titles

Other Accomplishments and Accolades

# of Individual National Champions

# of Individual All-Americans

Notable Athletes Coached

National Coaches Association National Awards*

# of National Coaches Association National Awards

National Coaches Association Regional Awards*

# of National Coaches Association Regional Awards

Conference Coaches Awards*

# of Conference Coaches Awards

Other Notable Accomplishments and Awards

Second Institution Information

Institution/Affiliation (2)

Program Type (2)

Gender Coached (2)

Position Title (2)

Please select the title that best represents the position of the nominee. If nominee held multiple positions at one institutions, please represent those positions in separate coaching history sections.

First Year at Institution (2)

Final Year at Institution (2)

Cross Country Accomplishments (2)

CC National Titles (2)

# of CC Titles (2)

CC Top Ten National Finishes (2)

# of CC Top Ten Finishes (2)

CC Conference Titles (2)

# of CC Conference Titles (2)

Indoor Track and Field Accomplishments (2)

Indoor National Titles (2)

# of Indoor National Titles (2)

Indoor Top 10 Finishes (2)

# of Indoor Top 10 Finishes (2)

Indoor Conference Titles (2)

# of Indoor Conference Titles (2)

Outdoor Track and Field Accomplishments (2)

Outdoor National Titles (2)

# of Outdoor National Titles (2)

Outdoor Top 10 Finishes (2)

# of Outdoor Top 10 Finishes (2)

Outdoor Conference Titles (2)

# of Outdoor Conference Titles (2)

Other Accomplishments and Accolades (2)

# of Individual National Champions (2)

# of Individual All-Americans (2)

Notable Athletes Coached (2)

National Coaches Association National Awards (2)

# of National Coaches Association National Awards (2)

National Coaches Association Regional Awards (2)

# of National Coaches Association Regional Awards (2)

Conference Coaches Awards (2)

# of Conference Coaches Awards (2)

Other Notable Accomplishments and Awards (2)

Third Institution Information

Institution/Affiliation (3)

Program Type (3)

Gender Coached (3)

Position Title (3)

Please select the title that best represents the position of the nominee. If nominee held multiple positions at one institutions, please represent those positions in separate coaching history sections.

First Year at Institution (3)

Final Year at Institution (3)

Cross Country Accomplishments (3)

CC National Titles (3)

# of CC Titles (3)

CC Top Ten National Finishes (3)

# of CC Top Ten Finishes (3)

CC Conference Titles (3)

# of CC Conference Titles (3)

Indoor Track and Field Accomplishments (3)

Indoor National Titles (3)

# of Indoor National Titles (3)

Indoor Top 10 Finishes (3)

# of Indoor Top 10 Finishes (3)

Indoor Conference Titles (3)

# of Indoor Conference Titles (3)

Outdoor Track and Field Accomplishments (3)

Outdoor National Titles (3)

# of Outdoor National Titles (3)

Outdoor Top 10 Finishes (3)

# of Outdoor Top 10 Finishes (3)

Outdoor Conference Titles (3)

# of Outdoor Conference Titles (3)

Other Accomplishments and Accolades (3)

# of Individual National Champions (3)

# of Individual All-Americans (3)

Notable Athletes Coached (3)

National Coaches Association National Awards (3)

# of National Coaches Association National Awards (3)

National Coaches Association Regional Awards (3)

# of National Coaches Association Regional Awards (3)

Conference Coaches Awards (3)

# of Conference Coaches Awards (3)

Other Notable Accomplishments and Awards (3)

Additional Information

Accomplishments from other institutions/affiliations

Coaching Education and Development Contributions (books, articles, videos, lectures, ect.):

Track & Field and/or Cross Country Offices or Leadership Positions Held:

Other Significant Information Upload:

Max. file size: 2 MB.

Nominator Information

Nominator Name*

First Last

Nominator Institution*

Nominator Email*

Nominator Office Phone*

Nominator Cell or Home Phone*

Nominator Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Portal for USTFCCCA Members and Track and Field Academy Students