<p> Northern State University - Athletic Hall of Fame</p><p>BIOGRAPHICAL INFORMATION</p><p>Name (Last Name) (First Name) (Middle Name)</p><p>Degree(s) and Year(s)</p><p>Home Residence, Street & Number</p><p>City State Zip Phone</p><p>Present Position (If retired, give year)</p><p>Name of Company, School, Organization</p><p>Birth Date Marital Status</p><p>Name of Spouse</p><p>Number of Children Grandchildren</p><p>News Media Outlet(s)</p><p>ATHLETIC INFORMATION</p><p>Sport(s) Years Played</p><p>Individual Statistics</p><p>Post-Season Honors & Years</p><p>Team Honors & Championships POST GRADUATE ACHIEVEMENT</p><p>Awards, Honors & Memberships in Field of Education (include coaching records)</p><p>Awards, Honors & Memberships in Profession other than Education</p><p>Awards, Honors & Memberships in Community, Service and Volunteer Organizations</p><p>Military Records & Honors</p><p>OTHER INFORMATION</p><p>Return information to:</p><p>Office of the Director of Athletics Northern State University 1200 S Jay St Aberdeen, SD 57401 Email: [email protected] Phone: (605) 626-2550</p>