NYSWCAA Service Award

Nominee Form 

 

Nominee’s Name:                                                                                                                                

Title:                                                                                                                                                    

Institution:                                                                                                                                            

Phone:                                                                                                                                                 

 

Please list the offices and/or committees on which you have served.

                                                                                                                                                           

                                                                                                                                                           

                                                                                                                                                           

Please list the your contributions to women’s intercollegiate athletics.

                                                                                                                                                           

                                                                                                                                                           

                                                                                                                                                           

                                                                                                                                                           

 

Please list any additional accomplishments and information here.

(Feel free to attach any collateral information you feel is pertinent as well).