Wall of Honor Nomination Form

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 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 Activities:
Nominee Professional Honors/Awards:
Nominee Community & Public Service:
Nominee Commitment to WLU:
Other Noteworthy Achievements of Nominee :
File Upload
Accepted file types: doc, docx, jpg, gif, png, pdf, Max. file size: 30 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.
Untitled
Name
This field is for validation purposes and should be left unchanged.