**Clinton County R-III School District Hall of Fame**
Nomination Form 2020
Join us in celebrating the Clinton County R-III School District's rich heritage of exceptional education by nominating a distinguished alumni for the Clinton County R-III School Hall of Fame. Finalists will be included in the CCR3 Hall of Fame in Spring 2020.

1. Nominees must have graduated from the Clinton County R-III School District.

2. Nominees must have achieved distinction in a particular area including, but not limited to academics, athletics, business, community service, science or medicine, military service, public service, visual or performing arts, etc.

3. Both living and deceased alumni are eligible for nomination.

For questions please contact via email at info@ccr3.k12.mo.us or via phone at 816-539-2183.

Nominee Name: *
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Maiden Name (if applicable):
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Nominee Address *
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Nominee Email: *
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Nominee Phone # *
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Nominee Graduation Year *
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Nominator Name: *
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Affiliation to Nominee *
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Nominator Address: *
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Nominator Phone #: *
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Nominator Email Address
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Please explain why your nominee should be a member of the Clinton County R-III School District's Hall of Fame and any supporting details from the nominee's dedication to vocation, recognition he or she has received/distinction in his or her field, community involvement, volunteerism, or civic engagement, all of which will be considered by the selection committee. Nominations are kept on file for two years, but once a nominee has been considered in the two year cycle, he or she will need to be re-nominated.
Norminations must be submitted on or before February 1, 2020
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