Hall of Champions Nomination Form

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ACCOMPLISHMENT RESUME/BIO

Please fill out the form to nominate yourself of someone else to be considered for induction into the Long Beach City College Hall of Champions.

NOMINEE'S CONTACT INFORMATION

Email address *

First name *

Last name *

Address 1 *

Address 2

City *

State *

ZIP Code *

Cell Phone Number *

Nominated by: *

ATHLETIC INFORMATION

High school attended: *

Years attended LBCC: *

Sport(s) participated at LBCC and years: *

LBCC special honors: *

All-Conference, All-State, All-American, MVP, team championships, etc.

Participation in athletics after leaving LBCC: *

Please list sport(s), years, location (college, Olympics, pro, etc.), and accomplishments

* required field