Wall of Fame Nomination Form

Review the Wall of Fame nomination criteria.

Instructions: To nominate someone for the Missouri State University Wall of Fame, please complete and submit this form no later than March 12, 2021.

Required fields are marked with an asterisk (*).

Nominee information

Name of nominee

Approximate dates of service

Nominee address

1000 characters remaining.

Family contact (Name, Address, Phone), if deceased

1000 characters remaining.

Nominee phone

Nominator information

Name of nominator

Nominator address

1000 characters remaining.

Nominator phone

Nominee contributions

Please describe why you believe this nominee should be selected for the Wall of Fame and how their service resulted in meaningful change at Missouri State.

1000 characters remaining.

Please provide specific examples/stories of how this nominee excelled in his or her job and demonstrated continuous character and integrity during their service to Missouri State University.

1000 characters remaining.

Please provide specific examples of how this nominee contributed to the success and positive collegiate experiences of students. (Quotes & recommendation letters from colleagues/former students are strongly encouraged)

1000 characters remaining.

Additional Comments/Observations/Examples of how this nominee had a remarkable impact on students and Missouri State University.

1000 characters remaining.

Human verification

Nominators may send additional pages as necessary to Terry Weber, Plaster Student Union, but please be succinct whenever possible.