Wall of Honor Nomination Form

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 May 15 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 Country
Nominee Phone:
Nominee Email
Nominee Class Year
Nominee Majors(s) at WLU
Nominee 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 Upload
Accepted 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:
Date Format: MM slash DD slash YYYY
Please click the submit button below to send the application. Thank you.
Name
This field is for validation purposes and should be left unchanged.