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Candidate Criteria
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Posthumous
Nomination
Nominee’s Information
State*
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
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
Washington D.C.
West Virginia
Wisconsin
Wyoming
Puerto Rico
Guam
American Samoa
U.S. Virgin Islands
Northern Mariana Islands
Please provide the following information for the nominee’s nearest living next of kin:
State*
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
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
Washington D.C.
West Virginia
Wisconsin
Wyoming
Puerto Rico
Guam
American Samoa
U.S. Virgin Islands
Northern Mariana Islands
List the primary reason(s) for nomination, in order of importance:*
Supporting Document*
(PDF, Word or plain text file 2MB or less.)
Nominee's Photo*
(JPG or GIF file 2MB or less.)
IMPORTANT:
Please attach no more than four pages of supporting information. Only the first four pages will be considered for the nomination application. This may include educational background, employment history and any exceptional accomplishments to support your nomination. You may list the titles of technical articles, awards received and patents issued. Do not attach copies of articles, awards or patents. Please also submit a recent photograph. We ask that you adhere strictly to the nomination schedule deadlines below.
Nominator’s Information
State*
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
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
Washington D.C.
West Virginia
Wisconsin
Wyoming
Puerto Rico
Guam
American Samoa
U.S. Virgin Islands
Northern Mariana Islands
Signature of Nominator (indicating accuracy of information):*
submit
Please correctly fill out the indicated fields, including signatures, and resubmit.