Hall of Fame Nomination Form

Part One - Nominee Information

Nominee Name

First Last

Nominee Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Nominee Phone Number (Cell)

Please include country code.

Nominee Phone Number (Home)

Please include country code.

Nominee Email Address

Gender

Date of Birth

Place of Birth

Date of Death (if applicable)

Place of Death (if applicable)

Date of First Skydive

Family Member Contact Information

Family Member Name

First Last

Family Member Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Family Member Phone Number (Cell)

Family Member Phone Number (Home)

Family Member Email Address

Familial Relationship

Has this nomination form been reviewed by the candidate or a member of the candidate's family?

Yes

No

May we share this nomination form with the person nominated (or their family) if they are selected for induction into the Hall of Fame (if requested)?

Yes

No

Part Two - Criteria for Admission

Clearly and briefly explain how the nominee's contributions to skydiving relate to at least THREE of the areas listed below.

Please Select At Least 3:

Leadership

Aviation

Sport Promotion

Competition (Including Judging)

Innovation

Government Relations

Photography/Videography

Design/Invention/Manufacturing

Philanthropy

1st Contribution to the Sport (Brief Description)(Required)

2nd Contribution to the Sport (Brief Description)(Required)

3rd Contribution to the Sport (Brief Description)(Required)

4th Contribution to the Sport (Brief Description)

5th Contribution to the Sport (Brief Description)

In narrative form, using 100 words or less, indicate the major contributions and/or accomplishments that serve to qualify the nominated individual for admission to the International Skydiving Hall of Fame.

If not otherwise reflected above, briefly indicate why, in your view, the candidate is especially deserving of this honor.

Additional Attachments (Optional)

Additional attachments may be included as supporting documents to include dates and sources of information.

Drop files here or

Accepted file types: pdf, doc, docx, jpg, jpeg, png, heic, Max. file size: 6 MB, Max. files: 10.

Attach A High Resolution Photograph Of The Candidate

The photo should be suitable for marketing.

Drop files here or

Accepted file types: jpg, jpeg, png, heic, Max. file size: 6 MB, Max. files: 10.

Part Three - Individual Making Nomination

Your Name

First Last

Your Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Your Phone Number (Cell)

Your Phone Number (Home)

Your Email Address

Relationship to Nominee

Signature(Required)

By signing my name below, I understand and agree that this form of electronic signature has the same legal force and effect as a manual signature.

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Part One - Nominee Information

Family Member Contact Information

Familial Relationship

Part Two - Criteria for Admission

Part Three - Individual Making Nomination

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