NOMINATION FORM
Fields marked with an asterisk indicate a required field. 

Only completed nominations will be accepted for consideration as determined by the Nominations Coordinator.  

To be considered for the upcoming induction year, submissions must be completed, submitted and accepted by January 1st.
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Email *
Please Select Today's Date *
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NOMINEE INFORMATION 
Nominee's First and Last Name
 *
Is the Nominee deceased?
 *
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