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Hall of Fame Nomination Form

Nominations must be submitted on or before April 15.

If you would prefer a paper application, click here for a PDF file of the paper application.

Person submitting nomination:

Your first name:  
*
Your last name:  
*
Address:  
*
City:  
*
State:  
*    (please fill in if outside of the United States)
Zip code:  
*
Phone number:  
* Type:
Email:  
*
Relationship to Nominee:  
*
 
   
Nominee Category: 
*
Nominee's first name: 
*
Nominee's last name: 
*
Address:  
 
City:  
 
State:  
     (please fill in if outside of the United States)
Zip code: 
 
Phone number:  
  Type:
Email:  
 
Alumnus/Alumnae: 
  (year graduated from Pius)
Living/Deceased: 
  (if deceased, name of spouse or nearest living relative)
 
   
 
  High School Information (If Known) Years of Participation Letters Earned (If Known)
Sport 1:
 
Sport 2:
 
Sport 3:
 
 
   


Honors/Awards received at Pius X:  

 


Other Athletic Accomplishments at/contribrutions to Pius X:  

 


Other Supporting Information:

 

Please email supporting documentation to HallOfFame@piusx.net.

 

 

 

Pius X • 6000 A St. • Lincoln, NE 68510 • 402-488-0931 • Fax: 402-488-1061

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