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Lifetime Achievement Form
Nomination notes:
The nomination form is important. The selection committee relies heavily on the content of the nomination form when selecting candidates for the Western Mustangs
The nomination will be added to a file of nominees that is reviewed yearly by the selection committee.
The selected candidate will be recognized and honoured at the Western Mustangs Sports Hall of Fame Dinner on the Friday night of Homecoming.
Pictures of all inductees are displayed on the Western Mustangs Sports Hall of Fame wall in Alumni Hall.
You will receive confirmation that your submission has been received via a separate email.
Date
Name of person making the nomination
Email
Phone
Name of nominee
Male
Female
Nominee's address
Province
Postal code
City
Email
Phone
Cell#
Faculty of program
Institution Attended, Degrees and year of Graduation
List sports played or coached by nominee
Western Mustangs Sports Accomplishments
National/International/Professional Accomplishments
Academic and Career Accomplishments
Community Involvement
Contributions as Ambassador to Western
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