Music Hall of Fame Nomination Form

Music Hall of Fame Nomination Form
Do you know someone who has made a lasting impact on the Iowa Lakes music community? Nominate them for the Iowa Lakes Community College Music Hall of Fame!
Nominator Information
Your Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Your Email Address
example@example.com
NOMINEE INFORMATION
Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Nominee is an Iowa Lakes Alumni
Years of Involvement (If known)
Home Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Reason for Nomination
Please provide a brief explanation of why this individual deserves to be inducted into the Iowa Lakes Community College Music Hall of Fame. Include details about their contributions, achievements, and impact on the music community.
Four individuals will be inducted to the Music Hall of Fame in the categories listed below. Please answer the following four questions as you’re able. You do NOT have to fill in all the categories. Share as many details as you can.
1. Impact growth or development of the Iowa Lakes Music Department:
2. Influenced the work of musicians, music lovers or society at large:
3. Utilize originality of creativity to establish new standards:
4. Involvement and commitment to Iowa Lakes Music Department:
Please include professional achievements and/or accomplishments:
Share examples of community leadership, service, etc:
Include any other information you’d like to share with the selection committee about this nominee:
Your First Name
Your Last Name
Your Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Your Email Address
example@example.com
Your Phone Number (include area code)
Please enter a valid phone number.Format: (000) 000-0000.
Should be Empty:

Music Hall of Fame Nomination Form

Nominator Information

NOMINEE INFORMATION

Reason for Nomination