Atlantic County Women’s Hall of Fame

Atlantic County Women’s Hall of Fame – 2027 Nomination Form

All information becomes the property of the organization and cannot be returned. Please review the submission deadline and required documents before submitting.
Nominee Information
Nominee Name

First NameMiddle NameLast Name
Nominee Home Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Nominee Home Phone
Please enter a valid phone number.Format: (000) 000-0000.
Nominee Email Address
example@example.com
Nominee Employer
Nominee Work Phone
Please enter a valid phone number.Format: (000) 000-0000.
Nominee Category
Eligibility Criteria
Eligibility criteria met
Nominator Information
Individual or Group submitting the nomination
Nominator Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email Address
example@example.com
Signature of individual or representative submitting the nomination
Date

MonthDayYear
Date
Required Attachments
Nominee’s one-page typewritten biography

Cancelof
Typewritten nomination letter from nominator

Cancelof
Letter of recommendation #1

Cancelof
Letter of recommendation #2

Cancelof
Should be Empty:

Atlantic County Women’s Hall of Fame – 2027 Nomination Form