Palatine High School                      Distinguished Alumni Award Nomination
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Nomination Submitted By: (Please include your name, address, phone, and email)
Name of Nominee:
Graduation Year of Nominee
Nominee's Address
Nominee's Phone Number:
Nominee's Email Address:
Nominee's Current Occupation:
Justification for Nomination: (Please include career related achievements, community service, and any additional pertinent information.)
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