Clone of 2026 Eastern Indiana HOF Nomination Form

Nomination for the 2027 JA Eastern Indiana Business Hall of Fame - LAUREATE NOMINATION FORM

Please share your insights about this nominee, as thoroughly as possible, for the selection committee’s review. *Nominations are being accepted through June 30, 2026.* Criteria to be nominated as a Business Hall of Fame laureate include: •Currently or in the past, held the position of President, CEO, or another top executive •Recognized by his or her organization (or profession) to have made a significant impact on its success •Exhibited an entrepreneurial spirit resulting in notable achievements, personally, and for the organization or profession he or she represents •Candidates considered will have served as a role model for others in business, demonstrating achievements of landmark proportions, significantly contributing to his or her organization/profession, community, and region. •Candidates considered will have lived and worked in eastern Indiana during the period in which the aforementioned criteria were met.
Nominee's name:

First NameLast Name
Title:
Company Name/Business/Profession:
*If the nominee is deceased, please provide, in the below space, the name, address and telephone number of a close relative or associate.
Nominee's Home Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Nominee's Home Telephone

Area CodePhone Number
E-mail
Nominee's Business Mailing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Nominations will remain confidential. Only the nominees selected will be informed. Nominators will be informed of selection.
Nominated by:
Phone Number

Area CodePhone Number
Email
example@example.com
1. Please explain why you chose to nominate this individual (also including any volunteer activities they are involved in):
Should be Empty:

Nomination for the 2027 JA Eastern Indiana Business Hall of Fame - LAUREATE NOMINATION FORM