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Athletic Circle of Honor Nomination

Required

Name of Nominatorrequired
First Name
Maiden (optional)
Last Name
Name of Nomineerequired
First Name
Maiden (optional)
Last Name
(XXX) XXX-XXXX
Street name and number, city, state, and zip
Nominee's Relation to WesleyanrequiredPlease select up to 1 choice
Please select up to 1 choice
If nominee is not an alumni, please list "N/A."