Perkins Hall of Fame Nomination
Form due June 1st
Email address *
Name of Nominee *
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Your answer
Address of Nominee *
Your answer
Phone Number of Nominee *
Your answer
Email of Nominee (if known)
Your answer
Please indicate the category for which the person is being nominated for (check all the apply): *
Required
Year of High School Graduation *
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Did the nominee graduate from Perkins High School? *
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If athletics, identify the sports the nominee played and number of letters in each sport *
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High School Honors and Achievements *
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Post High School Honors & Achievements *
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Occupational Honors & Achievements *
Your answer
Volunteer Activities & Achievements *
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Community Activities & Achievements
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Current Vocation of the nominee *
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Nominator Name (Your Name) *
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Nominator Address (Your Address) *
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Nominator Phone Number *
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Nominator Email Address *
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Is there any additional information that you would like for the committee to consider? Please elaborate.
Your answer
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