Hall of Fame Nomination Form - Dedication

Hall of Fame Nomination Form - Dedication

GENOA-KINGSTON HIGH SCHOOL HALL OF FAME NOMINATION FORM - Dedication

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               

DEDICATION –Past staff members who worked at GK CUSD #424 for a minimum of ten years.

NUMBER OF YEARS OF SERVICE IN THE DISTRICT 

 

Position(s) Held in the District:

 

Extra-Curricular positions held in the District: (indicate the number of years for each) 

 

Achievements:

 

Awards and Special Recognition:

 

Other:

 

 



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