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Hall of Fame Nomination Form - Service

Hall of Fame Nomination Form - Service

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

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               

SERVICE– A former GK student who has contributed significantly to their community, state or country.  The student must have graduated from Genoa-Kingston High School and been out of school for more than ten (10) years.

GRADUATION YEAR FROM GENOA-KINGSTON HIGH SCHOOL: 

CONTRIBUTIONS:

To Community:

To State:

To Country:

Other:

 

 

 

 

 



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