Athletic Hall of Fame Questionnaire

Preferred First Name

First Name

Last Name

Alternate Last Name (e.g. Maiden Name)

Preferred Class Year

Birthdate

Upload your picture (accepted file types: .jpg, .jpeg, .gif, .png; Max file size: 10MB)

Contact Information

Email Address

Phone Number

Mailing Address

Country

Street

City

Region

Postal Code

Spouse / Significant Other Information

First Name

Last Name

Alternate Last Name (e.g. maiden name)

Albion Preferred Class Year (if applicable)

Phone

Email

DeleteChild # _ID_
Children
First Name Last Name Birthdate Birthdate

Add a child

Employment Information

Employer

Title or Position

Business Phone

Business Address

Country

Street

City

Region

Postal Code

DeletePast Employer # _ID_
Employment History with Dates (most recent first)
Employer Start and End Date

Add another

DeleteHonorary affiliation or office # _ID_
Honorary affiliations and offices
Honorary affiliation or office

Add another

DeleteDegree # _ID_
Education
Class Year Degree / Major Institute Academic Honors

Add another

Involvements

Organization, club and athletic affiliations as an alumna/us:

Awards, honors or recognition earned through work or volunteer efforts:

Military Service:

Hobbies:

Local media contacts (newspapers, television/radio stations to send press release – if possible, please include email, fax number or mailing address):

Athletic Achievements

Albion sport and letters earned:

Albion College athletic awards:

MIAA Conference Awards:

National Awards:

Records and statistics (copies of photos, clippings, and programs are also helpful but cannot be returned):

Athletic achievements after Albion:

Personal Statement

Please provide any other pertinent information for use in printed programs, remarks, or other:

Lodging

Do you need lodging Friday night? If so, we can help you with reservations.

Yes

No

How many rooms?

Dinner Guest

Dinner is complimentary for you and a guest. Please indicate below who will be joining you.

Guest's Name

Guest's Address

Country

Street

City

Region

Postal Code

Guest's Phone Number

Guest's Email

In addition to your two complimentary seats, please list names, full mailing and email addresses of family members and friends you would like to have invited to the dinner and awards ceremony.

DeleteGuest # _ID_
Additional Guest(s)
Guest's Name Guest's Address Guest's Address Country Street City Region Postal Code Guest's Phone Number Guest's Email

Add guest