THE BEST OF MISSISSIPPI HALL OF FAME REGISTRATION FORM
Presented by The Best of Mississippi Awards, LLC. Celebrating outstanding individuals who have made a lasting impact on Mississippi through leadership, innovation, service, and excellence.🌟
Nominee Information
Full Name of Nominee as it should be written on your award.
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Business/Organization Name (if applicable):
Mailing Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
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Area Code
Phone Number
Email
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example@example.com
Social Media Links (Facebook, LinkedIn, Instagram, etc)
Best of Mississippi Awards History
Has this nominee ever been previously nominated or selected as a winner of the Best of Mississippi Awards?
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Yes, previously nominated
Yes, previous winner
No
Not sure
If yes, please share the year(s) and category (if known):
Nominator Information
(if different from nominee)
Your Full Name
Your Phone Number
Your Email Address
Your Relationship to the Nominee
Nomination Details
Select the Primary Area(s) of Impact: (Check all that apply) (Multiple Choice)
Business
Community Leadership
Ministry
Education
Arts & Entertainment
Government/Public Service
Healthcare
Youth Empowerment
Other
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Describe why this individual deserves to be inducted into the Best of Mississippi Hall of Fame. (300 words max)
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List any notable awards, recognitions, or lifetime achievements:
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Upload Headshot for Spotlight Flyer (If different from the original headshot)
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Upload supporting documents, letters of recommendation, or media (up to 3 files). Optional but increases your chances of getting approved.
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Consent & Agreement
Please check the following statements to acknowledge:
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I affirm that the information provided is true and accurate to the best of my knowledge.
I understand that submission does not guarantee induction and that all applications will be reviewed by a selection committee.
If selected, I agree to attend the Best of Mississippi Awards Gala or send a representative on my behalf.
I agree to allow my name, photo, and story to be published for promotional purposes.
Signature
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Today's Date
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Month
 -
Day
Year
Date
Submission & Payment
Application Fee: $25.00
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