Lifetime Achievement Form

The nomination form is important. The selection committee relies heavily on the content of the nomination form when selecting candidates for the Western Mustangs Sports Hall of Fame. Please be as thorough as you can.
The nomination will be added to a file of nominees that is reviewed yearly by the selection committee.
A nominee is not eligible for induction until ten years after graduation. Nominations can be submitted anytime.
The selected candidates 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.

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URL

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Date*

Name*

Email Address*

Phone Number*

Select*

Male

Female

Name of nominee*

Address*

Province*

Postal Code*

City*

Email*

Phone Number

Cell Number

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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