ANB Wall of Fame Nomination Form

Period of January 16th to March 19 2023

* Type:
* Nominee Name
* Nominator Name
* Nominator Email
* Nominator Phone
* Consent of the nominee or, if deceased, the family or appointed representative and their current address, email, and phone number.
* Two (2) letters of recommendation to support your nomination.
* A point-form list of accomplishments in chronological order.
* Documentation in support of the accomplishments.
* A high resolution digital photo of the nominee (head shot).
* A high resolution digital photo of the nominee (action shot where applicable).
Note: Total submission must not exceed ten (10) pages, including letters and supporting material. (Excess support material will not be reviewed but will be retained with the nomination for archival purposes.)
* Only digitally submitted nominations shall be accepted using ANB's online submission form.
* In the case a nomination is not successful in the year it was submitted, it shall be kept on file for future consideration.

Notice: Please only submit once your full documentation nomination package has been completed.

*mandatory field.