You have been Nominated

You have been nominated as a local hero. We are grateful for your service, dedication and sacrifice.

We will be highlighting West Virginia heroes, those in our community who have stepped up and inspired others to do good.

We would be honored to to share your story. If you would allow us please fill out the form below.

Best,

Team McKinley

Name*
First Last
We will only share first name and last initial
Phone*
We will not share your phone
Email*

We will not share your e-mail
City*
Title and Occupation*
Please share in a way that can be made public. For example: Healthcare Professional
Notes
Any notes you would like to share with us?
Upload a photo for us to use*
Drop files here or

Max. file size: 16 MB.
Permission*
Yes, I give permission
Except where otherwise noted in this form, I give permission for the Upton for all of us campaign to use my information provided in this form publicly.