2027 MIAHOF Online Nomination Form Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Nominee:FirstMiddleLastNominee InformationTitle:Mrs.Ms.Mr.OtherDate of Birth (MM/DD/YYYY)Nominee is:LivingDeceasedGender:MaleFemaleOther _______________________Deceased Date (if applicable):Contact Name:Contact information for Nominee or, if deceased, suggested representative of nominee:Relationship to Nominee:Contact Phone:Contact Email:Contact Address: (City, State, Zip):Area of Contribution:Public / Community ServicePhilanthropyBusiness and IndustryArts & EntertainmentReligionEducationSportsBasis for Nomination:From the categories listed above, please indicate one or more categories for your nominee and in 250 words or less, please summarize the notable contributions and achievements of the nominee; the nominee’s connection to Michigan, and the nominee’s Irish Heritage.Nomination Submitted By: *FirstMiddleLastAddress (City, State, Zip):Phone:Nominator’s Email: *Submit
