Distinguished Alumni Award Nomination Form
Award Criteria
*Nominee must be a graduate of Crook County High School.

*Nominee must have made significant contributions to their community, state and/or nation through professional service, public service and/or civic activities.

*Nominee (or representative) must be present at the senior graduation ceremony.

Selection Process
Nominations are reviewed annually during the spring semester and honorees are selected by a committee of Crook County High School Administrators and selected community members . The award is presented by the CCHS Assistant Principal during a spring student body assembly and at senior graduation. To submit a nomination, please complete each section of the form below. The nominator must provide all materials pertinent to the nomination. The Selection Committee will not conduct further research on behalf of any nominee. The nominee, or a representative, should be available to participate at the spring assembly and at graduation (schedule to be announced).
Your Name
First *
Your answer
Last *
Your answer
Preferred Mailing Address
Street Address *
Your answer
Address Line 2
Your answer
City *
Your answer
State / Province / Region *
Your answer
Postal / Zip Code *
Your answer
Daytime Phone Number *
Your answer
Email *
Your answer
Relationship to Nominee *
Your answer
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