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