Hall of Fame Application Form

The deadline for nominations is December 10, 2024.

Nominate a WSMTA member to the Hall of Fame by completing the form below or download the pdf form from the purple box below and email or post it to Hall of Fame Chair, Chris VanBuskirk.

PDF Version of the Hall of Fame Nomination Application Form

Please review the Criteria for Hall of Fame Nomination before completing the form (pdf or online).

Hall of Fame Nomination

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Your Information

Your Name*
MM slash DD slash YYYY

Nominee Information

Name*
Address

Supporting Information

The Hall of Fame Committee appreciates specific, detailed, personal and biographical details for each nominee. You can type it in the box below, and/or attach a file (or files). Examples of supporting documents include (but are not limited to) letters of recommendation from colleagues, parents, current and former students; recognition from the nominee’s chapter; pictures; and newspaper clippings.
Drop files here or
Accepted file types: jpg, jpeg, png, pdf, doc, docx, txt, Max. file size: 512 MB.