West Caldwell Hall of Fame Nomination Form
Full Name of Nominee: _______________________________________________________________
Is the Nominee living or deceased? ______________ (If deceased, please list relative to contact for honor)
Home address of Nominee: _____________________________________________________________________________________
Telephone: _________________________ Best time to call: __________________________
Name of Nominator & Address (if not self): ________________________________________________
______________________________________________________________________________________
Telephone: ___________________________ Best time to call: __________________
Relation to Nominee: _____________________________________________________
PLEASE COMPLETE THE QUESTIONS BELOW AS THEY PERTAIN TO THE NOMINEE.
Please use the back of the form or attach any further information pertaining to the nominee that would help the committee in the selection process.
Is the Nominee an Alumnus of WCHS? _____________ If so, graduation year? ________________________
Community Contributions: ___________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
Impact: ___________________________________________________________________________________
__________________________________________________________________________________________
Contribution(s) to West Caldwell: _____________________________________________________________
____________________________________________________________________________________________________________________________________________________________________________________
Achievements: _____________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
Military, Personal, Political, Religious, etc. (If job related achievement, must be alumnus)
Please include as much information as possible for nominee (including news clips or any other information you feel would help demonstrate why the nominee is worthy of the honor). The committee has the ability to request further information or verification of information and can withhold nomination for lack of evidence and/or information.
Please forward completed nomination form and attachments to:
West Caldwell High School
SIT TEAM
Attn: Jeni McNulty
300 West Caldwell Dr.
Lenoir, NC 28645
Dead Line for Nominations November 30, 2009
Do'stlaringiz bilan baham: |