Wentworth Institute of Technology: Athletics > Hall of Fame

Nomination Form

Nominee's Name:
Class Year:
Name at Graduation:
Phone:
Address:
City:
Zip:
In what varsity sport(s) did the nominee participate?

Please list years of participation, individual honors, team captaincy, post-season tournaments, contributions, etc.

Why do you think this nominee should be elected to the Wentworth Athletic Hall of Fame?

Nominator:
Phone:
Address:
City:
Zip:
Relationship to Nominee:
Email: