Herkimer College Athletic Hall of Fame Nomination Form

Herkimer County Community College welcomes nominations for the 2022 Athletic Hall of Fame. The award honors former Herkimer athletes, coaches, teams and other individuals who have made an extraordinary contribution to the College through intercollegiate athletics. The induction ceremony will be held at the College on Friday, September 30, 2022 during Fall Fest & Alumni Weekend. Nominations must be postmarked by February 15, 2022.

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Nominator Information

Email address *

First name *

Last name *

Address 1 *

City *

State *

ZIP Code *

Cell Phone Number *

Nominee Information

Nominee: *

Maiden Name:

Nominee Address: *

Nominee: Email *

Nominee Phone Number: *

Please include cell phone and home number.

Nomination Categories

Athlete (Must have successfully completed at least one full season in a given sport, brought prestige and recognition to the College, and either graduated from Herkimer County Community College or transferred to a four-year college or university where he/she received a bachelor’s degree.)

Team (Must have compiled a significant record of accomplishments at the regional and/or national level.)

Coach (Must have compiled a significant winning record for a minimum of five complete seasons while contributing to the future success, either in college or employment, of the athletes who competed under his/her leadership.)

Associate Member, Administrator, or Contributor (Must have made special contributions to the quality, growth, and reputation of HCCC’s intercollegiate athletic program at the community, state, and/or national level.)

Nomination Category (please choose one) *

Athletic Awards Received at Herkimer County Community College (list years, if known):

Individual, Team or Coaching Awards (MVP, Etc.):

Departmental Recognition:

Conference, Regional, National Recognition:

Records Held:

Other Special Honors/Recognition:

Year of Graduation, Transfer, Retirement of Advancement in career from HCCC: *

Any additional information to support this nomination:

Submit your completed nomination form and any additional information, clippings, etc. nomination consideration, via email to deanofstudents@herkimer.edu; or fax to (315) 866-0300, x 1789; or mail to: HCCC Athletic Office, Attention: Donald Dutcher, 100 Reservoir Rd., Herkimer, NY 13350. Nominations be postmarked by February 15, 2022 .

Herkimer County Community College

Athletic Department

100 Reservoir Rd

Herkimer, NY 13350

(315) 866-0300, ext. 8255

* required field

Herkimer College Athletic Hall of Fame Nomination Form