Lakeview High School Wall of Performers
Nomination Form
Date *
MM
/
DD
/
YYYY
Nominee's name *
Your answer
Address *
Your answer
Phone
Your answer
email
Your answer
nominating person or group
Your answer
Nominee's Year of High School Graduation
Your answer
Nominee's College
Your answer
High school participation/advising history (activities and years):
Your answer
Awards/Honors/Highlights:
Your answer
Rationale for nomination: (Please use the reverse side and/or additional sheets, if necessary. Any documentation, supporting letters, etc., you can provide will be helpful.)
Your answer
Present status
Your answer
Other highlights and experiences:
Your answer
Community involvement:
Your answer
Submit
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