I want to...
Nominations Page

Please click here for a downloadable PDF version of this form.

I am nominating as a candidate for the Alumni or Athletic Hall of Fame at Grambling State University, Gallery of Distinction the person below. (Please indicate in the narrative below which category of Hall of Fame and the reason for your nomination):


Title  
First Name *
Last Name *
Suffix
Mailing Address *
City *
State *
Zip Code *
Home Phone *
Other Contact Number
Years Attended and/or Graduated
Email Address

This nomination submitted by:

Title  
First Name *
Last Name *
Suffix
Mailing Address *
City *
State *
Zip Code *
Home Phone *
Email Address *
Please describe in as much detail as possible the reason for your nomination
(limit 200 words please) *
All nominators must forward by FEDEX or UPS mail with a return receipt, a copy of the nominee's vita and (2) 4x6 color photographs. Photographs will not be returned. *Nominees must also sign and mail the consent form in order to be considered.

ALL information must be post marked no later than, June 15, 2011. Thank you.