Hall of Fame Submission
Your Information
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Relationship to Nominee
*
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Nominee Information
Nominee Name
*
First Name
Last Name
Nominee Email
*
example@example.com
Nominee Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Nominee Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Degrees Earned from GCU, and the Years Completed
*
Other Degrees Please include the school
*
Please briefly describe the nominee’s career history
*
What significant career milestones has the nominee accomplished? How has the nominee impacted their chosen professional field of endeavor?
*
Please list any significant awards, public recognition or honors the nominee has received:
How has the nominee impacted their community? Please list any organizations in which the nominee is involved?
*
Please describe how the nominee demonstrates leadership or how he or she is a role model.
*
Additional Comments
*
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