Space Worker Hall of Fame Nomination Form

Please use this form to submit your nomination for the 2024 Space Worker Hall of Fame. Note that the fields with a red asterisk are required. The first few fields ask for your contact information so we can reach you if we have a question. The other fields pertain to the person you want to nominate.

Then we will ask you for up to three references. At least one is required but you are strongly encouraged to provide all three. We will contact these references to verify they think your nominee is deserving of this honor.

And remember, neither you nor your nominee are required to be members of the National Space Club Florida Committee. (And if you’re not a member, why not JOIN NOW!)

Your Name*
First Last
Your Company*
Your Email*
Your Phone Number*
Who are you nominating?*
First Last
Nominee Title*
Nominee's Company*
Nominee's Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Nominee's Email*
Nominee's Phone Number*
Please tell us in 250 words or less how your nominee made, or is making, significant contributions to the space program while working in Florida.*
Name 1*
First Last
Phone 1*
Email 1*
Name 2*
First Last
Phone 2*
Email 2*
Name 3*
First Last
Phone 3*
Email 3*

Space Worker Hall of Fame Nomination Form

Title