National Wrestling Hall Of Fame

Official Nomination of Outstanding American

Nominated By

Name

Cell Phone

Candidate Name

Candidate Mailing Address

Candidate City

Candidate State

Candidate Zip

Candidate Email

DOB

Place

If deceased, Date of Death

Home phone

Daytime phone

This nomination is for distinguished achievement in the filed of

Science & Technology

Business & Industry

Government & Military

Arts & Humanities

Medicine

Education

Other

SUMMARY OF ACHIEVEMENTS

Briefly summarize the area(s) in which the candidate has earned national/international acclaim

College Attended

State

Year of Graduation

Degree obtained and field of Study

Additional degrees (list year, school, type of degree and subject)

Honorary degrees (list year and school)

National honors

International Honors

Other Special honors

Present employment:

Position

Company

Previous employment (list years)

Civic/ Business recognition

Leadership positions

Military Service

Marital status/ Spouse name

Children (Name and D.O.B.)

High School achievements of note

Briefly describe the candidate’s background in wrestling

Outstanding athletic recognition

Has nominee ever been convicted of a Felony?

Yes

Our Mission: To honor the sport of wrestling by preserving its history, recognizing extraordinary individual achievements, and inspiring future generations