Space Camp Hall of Fame Nomination

Nominations are open for the 2012 class.

The deadline for nominations for the Hall of Fame Class of 2012 will be 11:59 PM CDT, March 15, 2012.

Items marked with * are required fields.

Friend of Space Camp
Former employee of Space Camp
Space Camp Alumni

Nominee's Information

Title:*

First Name:*

Last Name:*

Age:

Deceased?

Address:

City:

State:

Zip Code:

Country:

Phone:

E-mail Address:

Web/Blog Site (if applicable):

Current Employer:

Job Title:

Space Camp and/or Aviation Challenge Programs and Dates (Dates of attendance, employment, or service):
(limit 1000 characters) *Required

Space Camp and/or Aviation Challenge Achievements (while serving as a camper, staff or friend):
(limit 4000 characters) *Required

Post-Space Camp /or Aviation Challenge Achievements(Emphasize how these achievements are a result of the Space Camp/Aviation Challenge experience and illustrate the Space Camp ideals):
(limit 1500 characters) *Required

Civic, Cultural, or Professional Organization Involvement:
(limit 1500 characters)

Share why the nominee is worthy to be inducted into the Space Camp Hall of Fame:
(limit 5000 characters) *Required

Nominator Details:

Nomination Submitted By:*

Relationship to Nominee:*

Contact Address:

Phone Number:*

E-mail Address:*

(Will be used only if Selection Committee has questions)