Nominee Form — Michigan Environmental Hall of Fame

Nominations

Have a nominee in mind? Fill out the electronic form on this page and we will get back to you as soon as possible!

Category

* = required field The category in which the nominee resides.

Nominee's Name

Please enter the name of the person you are nominating

First Name

Last Name

Nominee's Address

Please enter the address of the person you are nominating

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Nominee's Email

Please enter the email of the person you are nominating

Reason for Nomination

Please enter the reason you are nominating this person

Your Name

Please enter your name

First Name

Last Name

Your Address

Please enter your address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Your E-Mail

Please enter your e-mail address

Supporting Documents

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