Scholarship Application

BUFFALOES Foundation, Inc.

Field(s) of Endeavor

Education

Medicine

Public Service/Government (Federal, State, Local)

Other

Special Honors Received *

Nominee Name: *

Address *

Telephone Number: *

E-mail Address: *

Closest Relative *

Hall of Fame Nomination Form

Nominations should be submitted with the following information:

A cover letter detailing why the Nominee is worthy of being inducted into the Buffaloes’ Hall of Fame (BHOF).

Any supporting materials (i.e. articles featuring or about the Nominee, etc.) to include, but not limited to: a) Bio; and, b) Photo of Nominee.

Photo of Nominee, NO GLAMOUR SHOTS, PLEASE

Nominations should be sent when the SUBMIT button is clicked below

PLEASE PROVIDE A PHOTOGRAPH IN AN OFFICIAL CAPACITY

Address: *

Nominator *

Nomination is not paramount to selection. All Nominees will be reviewed by the Nomination Committee. Attach word.doc or pdf if additional space is needed.

E-mail Address *

Nomination Submission Requirements
(Materials will not be returned. Do not send original documents.)

Submitting will send Nomination Form to buffaloesfoundation1993@gmail.com

Physical nominations can be mailed to:

Buffaloes Foundation Inc PO Box 419
Arkadelphia, Arkansas 71923

Telephone Number *