OFFICIAL 2025 NBCA HALL OF FAME NOMINATION FORM

NOMINEE'S INFORMATION

Please Include a bio (no more than 250 words) and a high-resolution photo of the nominee.
Name of Nominee

First NameLast Name
Address

Street Address

Street Address Line 2

CityState

Zip Code
Phone Number

Area CodePhone Number
Fax

Area CodePhone Number
Email
example@example.com
Occupation/Profession

REASON FOR NOMINATION

Please provide the following pertinent information. Be specific and thorough. Use additional pages as needed.
I. Nominee’s Contributions to Nominating Institution
II. Nominee’s Contributions to HBCU’s in General
III. Nominee’s Accomplishments in Area of Nomination
IV. Nominee’s Professional and Community Involvement
V. Nominee’s Honors and Awards
VI. Nominee’s Involvement in National Alumni Association
I. Nominee’s Contributions to Nominating Institution
II. Nominee’s Contributions to HBCU’s in General
III. Nominee’s Accomplishments in Area of Nomination
IV. Nominee’s Professional and Community Involvement
V. Nominee’s Honors and Awards
VI. Nominee’s Involvement in National Alumni Association
Additional Information

Include other relevant information you deem necessary.
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NOMINATING INSTITUTION