NEAAPA Hall of Fame Nomination Form Nominate a person who has contributed greatly to the attractions industry in the Northeast United States. Name of Nominee * Nominee is * Living Deceased Nominee's company or organizational affiliation * Nominee's Mailing Address (Living Only) Address Line 1 Address Line 2 City State Select option... Alabama Alaska Arizona Arkansas California Colorado Connecticut DC Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming DC Zip/Postal Code Nominee's Telephone Number (Living Only) Approx. years nominee was active in the industry * Citation for nomination * Please upload a document, stating why this nominee should be selected for induction into the NEAAPA Hall of Fame. Include significant contributions to the industry in Northeast United States. This statement will form the basis of the citation should your nominee be selected. Nominee Resume * Please attach a statement setting forth the resume of your nominee, including such things as his/her professional involvement within the attractions industry, the special contributions he/she made to the industry and to his/her own company, recognized traits of leadership and character, etc. Use as much space as needed to fully describe the nominee’s qualifications for induction into the Hall of Fame. Supporting Documentation Please list and attach to this form any documents such as magazine articles, newspaper stories, and other citations, which feature the nominee and support your belief that the individual deserves induction into the Hall of Fame. If the nominee is deceased, please provide contact information for any living relatives or colleagues. Nomination submitted by: First Name Last Name Your company/organization * Your phone number * Your Email address * Additional Reference Below, please list one other person whom you believe have sufficient knowledge about the nominee to provide the committee with supportive information if asked to do so by the committee. (Please understand that the committee will not be influenced by receipt of a flood of supportive letters or forms.) Additional Reference First Name * Last Name * Additional Reference Phone Number Additional Reference Email address