Local Government Hall of Fame Submission Form
Submitting Organization Information
Organization Name
*
Contact Information
*
First Name
Last Name
Email
*
Phone Number
Format: (000) 000-0000.
Submission Information
Name of Nominee
*
First Name
Last Name
Email of Nominee
If applicable
Phone Number of Nominee
If applicable
Format: (000) 000-0000.
Alive or Deceased
*
Alive
Deceased
For which category are you submitting?
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Historical
Thought Leadership
Contemporary
Describe your nominee's most significant contributions to the local government profession and the key reasons they should be part of the Hall of Fame:
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0/300
Attach up to 3 high quality photos:
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