Genoa Kingston CUSD 424

GENOA-KINGSTON HIGH SCHOOL HALL OF FAME NOMINATION FORM - Friend of GKHS

Nomination form must be typed and all fields must be complete to be considered for the GKHS Hall of Fame

NOMINEE’S INFORMATION

NOMINEE’S NAME: (first and last)      

Address (If known)                                

City, State, Zip                                     

Phone Number                     

Year of Participation                (Must be at least 10 yrs after graduation)

 

NOMINATOR’S INFORMATION

NOMINATOR’S NAME: (first and last)    

Address (if known)                    

City, State, Zip                    

Phone Number                  

 

INDIVIDUAL TO CONTACT FOR ADDITIONAL INFORMATION

NAME: (first and last)          

Address (If known)                    

City, State, Zip                         

Phone Number               

FRIEND OF GENOA-KINGSTON HIGH SCHOOL– One who has given meritorious service to Genoa-Kingston High School, or is a loyal friend of the district.

YEARS OF SERICE OR CONTRIBUTION TO THE DISTRICT:  

 

Description of service or contribution to Genoa-Kingston High School: 

Achievements:

Awards and Special Recognition:

Other:

 

 

 

 

 

Security Measure