National Women's Hall of Fame

Nominate

Please enter the following information to submit online,
or click here for a PDF version
formatted for printing and mail or fax to:

The National Women's Hall of Fame
76 Fall Street
Post Office Box 335
Seneca Falls, New York 13148

or call us at: 315.568.8060
Fax: 315.568.2976
E-mail: greatwomen@greatwomen.org

* = required field

Nominee's Name*

Nominee's Title*
(example: Suffragist, Author, Political Activist, Scientist, Explorer, etc.)

For What Achievement(s) is the Nominee Best Known?*

Date of Birth*

Date of Death (if applicable)

Nomination Submitted By*

Signature of Submitter*

Date*

Title/Occupation of Submitter*

Affiliation/Association to Nominee*
(example: friend, colleague, student, employee, relative, etc.)

Address of Submitter*

Telephone: Day*

Telephone: Evening*

Fax

E-Mail*

Biographical Information*
Please provide essential biographical information on this page only. Essential biographical information includes education/training, professional/work history, major accomplishments and/or contributions, honors and awards received. Be sure to include complete citations of sources of biographical information (reference books, periodicals, etc.). You may use the "Sources of Biographical Information" field below for sources. Do not attach another bio, resume, or article as a substitute for using this form.

For questions 1 through 3, Please do not repeat the biographical information given in the previous section. Please put the nominee's accomplishments in context; show how they are relevant and valuable to society.

1. Describe in what ways the nominee's contributions have been of the greatest value for the development of the United States of America. (Nominees who are not leaders in their field of accomplishment will not be selected.)*

2. Describe the significant national or global impact of the nominee's achievements. Quantify the answer, where possible. (Individuals whose contributions are local or regional will not qualify.)*

3. Present evidence that the nominee's achievements have (or will have) enduring value. Where applicable, focus your comments on change that has been created and how that change is expected to last over time.*

Sources of Biographical Information*

National Women's Hall of Fame 76 Fall Street P.O. Box 335, Seneca Falls, NY 13148 Phone 315.568.8060

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