Emporia High School Hall of Fame Nomination
Email address *
Individual Submitting Nomination *
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Address of Nominator *
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Phone Number of Nominator *
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Full Name of Nominee *
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Years Nominee Attended EHS
Date of Graduation from EHS (if applicable)
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Current Address of Nominee
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Current Phone Number of Nominee
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Place and Date of Birth
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If deceased, date
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If deceased, name of spouse or closest living relative
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If deceased, address of closest living relative
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If deceased, phone number of closest living relative
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College/University (please list name of school, year graduated, degree)
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Post Graduate School (name of school, year graduated, degree)
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Other training or experiences of note
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Why do you think this candidate has gone above and beyond and is worthy of induction into the Emporia High School Hall of Fame? *
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List the names of at least three (or more) other people who might provide information regarding this candidate's accomplishments. Please provide contact information (email address, home address, phone number) if known.
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