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Hall of Fame Nomination Form - Personal Achievement

Hall of Fame Nomination Form - Personal Achievement

GENOA-KINGSTON HIGH SCHOOL HALL OF FAME NOMINATION FORM - Personal Achievement

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               

PERSONAL ACHIEVEMENT – A former Genoa-Kingston High School student who has been honored or recognized by their college, profession or peers for their success and achievements.  This person also must have been out of school for more than ten (10) years.

GRADUATION YEAR FROM GENOA-KINGSTON HIGH SCHOOL: 

 

Education/College Achievements:

 

Personal Achievements: 

 

Civic/Public Service Involvement:

 

Professional Organizations/Recognition:

Other:

 

 

 

 

 



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