HOF Nomination Form

— Nomination

Hall of Fame Nomination Form & Instructions.

To complete this nomination form you will be guided through a multi-step process that will require key information about your nominee such as accomplishments, contributions, any awards and/or volunteer involvement.

To be eligible, nominations must occur using this official nominating form. The nomination must be complete and submitted by the deadline.
Unsigned, anonymous and posthumous nominations will not be accepted.
Your nominee’s consent is not required to make this nomination. If selected, further consent and additional information from your nominee will be sought at that time.

Nominee Information

Nominee First Name *

Nominee Last Name *

Nominee Email *

Nominee Mobile or Home Phone Number *

Nominee Occupation/Title *

Primary Field of Achievement *

Achievement Other *

Secondary Field of Achievement (Optional)

Secondary Achievement Other *

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Nominator Information

Nominator First Name *

Nominator Last Name *

Nominator Email *

Nominator Mobile or Home Phone Number *

Affiliation to Nominee *

Previous Step

Provide a summary of the nominee's exceptional achievements, accomplishments, or contributions that support her consideration for induction into Loudoun Women's Hall of Fame (500 words or less). *

Describe how the nominee's contributions have significantly benefited Loudoun County and empowered women and girls (500 words or less). *

What do you believe are your Nominee’s greatest achievement(s), including any awards and/or honors? (500 words or less). *

Previous Step

Has she engaged in voluntary work beyond her paid work? This may include additional activities such as mentoring programs, involvement in community and service groups, or participating in Boards/Committees (500 words or less). *

Please use this space to communicate any additional information about this nomination (500 words or less). *

Previous Step

*Note: All nominees are evaluated based on the specified criteria. The names of nominators are not shared with the selection committee. Letters of Recommendation are not accepted. Nominees are chosen based on merit, not on endorsements.

Affirm *

Affirm

Affirm Self-nomination

Date *

Previous Step