Wall of Honor Nomination FormAlumni Wall of Honor NominationStep 1 of 333%The Alumni Wall of Honor Award is the highest honor the Alumni Association can bestow upon a graduate of West Liberty University. It is awarded to alumni and alumnae who, through their distinction in their chosen career, selfless service to society, dedication and loyalty to the University, exemplify greatness and are worthy of induction.Nominations may be made by anyone familiar with the candidate and candidates can be living or deceased. The annual deadline for nominations is May 15. All nominations and accompanying documents are kept in the strictest confidence. If a candidate is not selected in a particular year, he/she may be re-nominated in succeeding years.Please complete the following Nomination Form as thoroughly as possible. Thank you!Name of nominee First Last Maiden Name(if applicable):Nominee Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands 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 Activities:Nominee Professional Honors/Awards:Nominee Community & Public Service:Nominee Commitment to WLU:Other Noteworthy Achievements of Nominee :File UploadAccepted file types: doc, docx, jpg, gif, png, pdf, Max. file size: 250 MB.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: MM slash DD slash YYYY Please click the submit button below to send the application. Thank you.UntitledEmailThis field is for validation purposes and should be left unchanged.
