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Wilkes County Hall of Fame Nomination Form

The Wilkes County Hall of Fame was created to recognize citizens and corporations that have made invaluable contributions to Wilkes County and the world beyond.  The Hall of Fame reinforces the message to children that they can and should strive for excellence in any endeavor of their choosing.  By presenting significant and powerful role models, the Hall of Fame is a source of learning, inspiration and hope for children.

Nominees for the Wilkes County Hall of Fame may fall into any of the following categories:

1)  Arts & Entertainment-renowned performers, musicians, actors & actresses, poets & writers and those who work in related  
     fields.
2)  Enterprise- Wilkes County greats in such fields as science, medicine, business and philanthropy.
3)  Sports-superior athletes, coaches, officials, and administrators in the wide world of sports.
4)  Leadership- greats who may not well fit into the above categories, e.g. educators, military leaders, etc.

Candidates must meet the following criteria:
A)  The nominee must be or have been a legal resident of Wilkes County.
B)  The nominee must have made broad and lasting contributions to the betterment of the community or brought recognition to
      the community through their accomplishments.
C)  The nominee must be of exemplary character and reputation.



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Please indicate the category in which the nominee best fits. *
Corporation/Business/Group Contributions
This section should only be completed if the nomination is for  a corporation, business, group.
Corporation/Business/Group Name
 Street Address
City
Zip Code
Phone Number
Contact Person
In the section below please list chronologically the Corporation/Business or Group's contributions to the betterment of Wilkes County, dates, and other appropriate data.
Individual Nomination
First Name
Middle Name
Last Name
City
Street Address
Zip Code
Age
Date of Birth
Place of Birth
Telephone (Work)
Telephone (Home)
Email Address
Name of High School and Year of Graduation
Name of College and Year of Graduation
Additional Degree/Dates (If applicable)
Information if Nominee is Deceased
Date of Death
Name of Nearest Relative
Street Address
City
Zip Code
Telephone (Work)
Telephone (Home)
Email Address
Relation to Nominee
Clear selection
Accomplishments and Contributions
In the section below please list chronologically the nominee's accomplishments and/or contributions to the betterment of Wilkes County, dates, and other appropriate data.
Other activities
Please list church, civic, or other charitable activities.
Educational Honors
Please list honor earned in high school, college, or post graduate work.
Sponsor Contact Information
This section should be completed for all nominations regardless of type.
First Name *
Middle Name *
Last Name *
Street Address *
City *
Zip Code *
Telephone (Work)
Telephone (Home) *
Email Address
Additional Information
If you would like to submit additional information such as photos, resumes, media information, etc. please contact Mr. Chris Skabo, Wilkes County Schools Director of Athletics and Healthy Living at (336) 651-7104 or skaboc@wilkes.k12.nc.us.  Nominations are due 3/1/15.
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