Wall of Fame Nomination Form
Instructions
All information on this form must be completed and received no later than June 1.
The following information should be included, at the time of nomination, if possible:

1) Photocopies of newspaper clippings, articles, event programs, or other such material that
detail information of the nominee’s accomplishments. Please do not send originals as we are
unable to return these items.
2) A photograph of the nominee will be required should they be selected.
3) All information submitted shall be retained by the Hall of Fame Committee, and all action
necessary to the selection process shall remain confidential.

Return the completed nomination form via this website or regular mail.  Please send support material to:

Tim Andring
Activities Director
Dover-Eyota High School
615 S. Ave. SW
Eyota, MN 55934

** Process/Timelines **
Nomination Forms & Questionnaires posted on line and in Activities Director’ Office
Collection of Information on Nominees done throughout the year
Deadline for Nominations June 1
Wall of Fame Selection Committee Meets After June 1
Select and Inform Wall of Fame Recipients by July 1
Complete Information for Plaque and Media July 30
Order Plaques and Awards August 1
Awards Presentation-Football game, (to exclude Homecoming Game)
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Please select the appropriate nomination category: *
Hall of Fame nominee name *
Nominee Current address
(Include Street Address, City, State, Zip)
Phone (include area code)
Place/date of birth
If deceased, date
Name of spouse or closest living relative
Spouse/Relative's Current address
(Include Street Address, City, State, Zip)
Phone (include area code)
Education
Year graduated from Dover, Eyota, Dover-Eyota High School (if applicable)
Name of college/university
Degree
(Include Year Graduated)
Name of post graduate school
Degree
(Include Year Graduated)
Recognition
Honors and achievements (give complete details of special honors, awards and recognition,  outstanding performances, records, etc. …)
Post-high school achievements
Other information (not previously listed) that substantiates the nominee’s accomplishments
Individual Submitting Nomination
Name
Address
(Include Street Address, City, State, Zip)
Phone (include area code)
OFFICE USE ONLY
Date of Nomination
Year of Induction
Submit
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