Wall of Honor Nomination Form Alumni Wall of Honor Nomination Through its Alumni Wall of Honor program, West Liberty University recognizes its most notable alumni to acknowledge their commitments to their communities, professions and West Liberty University. Nominations should be submitted by April 30 of each year. All nominations and accompanying research are kept in the strictest confidence. Alumni not chosen for a particular year will remain on file for future consideration for five consecutive years. Please complete the following as thoroughly as possible. Name of nominee First Last Maiden Name(if applicable):Nominee Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Country Nominee Phone:Nominee Email Nominee Class YearNominee Majors(s) at WLUNominee Profession:Nominee Title:Statement:Why I believe this person should be considered. Include most important accomplishments, affiliations and honors. Please be specific; give examples.Nominee Career Accomplishments:Nominee Education Beyond WLU & Scholarly Activites:Nominee Professional Honors/Awards:Nominee Community & Public Service:Nominee Voluntary Service to WLU:Other Noteworth Achievements of Nominee :File UploadAccepted file types: doc, docx, jpg, gif, png, pdf.You are able to upload supporting documents, such as letters of support, biographies, resumes, photos, etc. Acceptable file formats are: .doc, .docx, .jpg, .png, and .pdf References: (Other sources suggested for contact concerning nominee’s accomplishments.) 1st Reference Name:1st Reference Phone:2nd Reference Name:2nd Reference Phone:3rd Reference Name:3rd Reference Phone:Person submitting nomination:Submitter's Daytime phone:Submitter's Email: How did you become acquainted with the person you are nominating, and how long have you known him/her?Date submitted: Please click the submit button below to send the application. Thank you. NameThis field is for validation purposes and should be left unchanged.