Northern State University - Athletic Hall of Fame

BIOGRAPHICAL INFORMATION

Name (Last Name) (First Name) (Middle Name)

Degree(s) and Year(s)

Home Residence, Street & Number

City State Zip Phone

Present Position (If retired, give year)

Name of Company, School, Organization

Birth Date Marital Status

Name of Spouse

Number of Children Grandchildren

News Media Outlet(s)

ATHLETIC INFORMATION

Sport(s) Years Played

Individual Statistics

Post-Season Honors & Years

Team Honors & Championships POST GRADUATE ACHIEVEMENT

Awards, Honors & Memberships in Field of Education (include coaching records)

Awards, Honors & Memberships in Profession other than Education

Awards, Honors & Memberships in Community, Service and Volunteer Organizations

Military Records & Honors

OTHER INFORMATION

Return information to:

Office of the Director of Athletics Northern State University 1200 S Jay St Aberdeen, SD 57401 Email: [email protected] Phone: (605) 626-2550