News Releases

NRHOF Nomination Form

Please print this form, complete it, and mail to:

National Rivers Hall of Fame
350 East Third Street
Dubuque, Iowa 52001

Name of Nominee__________________________________________________________________________________
(First) (Middle) (Last)


Date of birth___________________________________
Place of birth_________________________________________


Citizenship________________________________________________________________________________________


1. Field of Achievement _______________________________________________________________________

2. Major accomplishments: (List in order of most noteworthy first, and indicate why noteworthy PLEASE SUPPLY INDEPENDENT DOCUMENTATION IF POSSIBLE – newspaper or magazine articles, etc.) Include current job activities if applicable.


















3. Geographic scope of significance of accomplishments (How widely known is the achievement?). Give examples.








4. Family background (Developmental experiences or family history which may have contributed in shaping interests, pursuits, and motivations).














5. Educational background (Schools attended with dates and locations, degrees earned, teachers who might have had special impact).









6. Early career (Jobs held, person for whom nominee worked, and influence either might have had on later achievements).









7. Please write in your own words, a summary of the nominee’s qualifications, addressing yourself especially to achievements and their significance. Include why these achievements will be significant or remembered in future years. You may need an extra sheet if necessary.


















8. Please supply names and addresses of other individuals, corporations, newspapers, magazines or institutions which might be able to supply information on the nominee.











9. Please submit photo with this application


Nominations will be judged on the basis of information supplied in this preliminary nomination form, and on corroborating or independent evidence supplied. You are therefore urged to provide as much information as you feel would be needed to justify the nominee’s selection. This form is intended to assist in gathering certain categories of information. Should you think it useful to expand what is requested in this form, you are encouraged to do so.

Completion of nomination form and data gathering instrument does not assure selection to the National Rivers Hall of Fame.

Mail nominations to
National Rivers Hall of Fame * 350 E Third St.* Dubuque, Iowa 52001