STILLWATER AREA HIGH SCHOOL DISTINGUISHED ALUMNUS AWARD
NOMINATION FORM
Criteria for Distinguished Alumnus Award:
Nominee must be a living or deceased graduate of Stillwater Area High School.
Nominee must have shown distinguished achievements in his/her chosen field(s)
Nominee must have shown significant community involvement.

The 2018 Distinguished Alumni nominations will be presented to the Distinguished Alumni Committee of The Partnership Plan, the education fund for Stillwater Area Public Schools. The committee is chaired by the Stillwater Area High School Principal and composed of ISD 834 personnel, a Partnership Plan representative, community members and Stillwater Alumni. The selected honorees will be inducted into the Stillwater Area High School Hall of Fame, and be recognized at a reception in June 2018. Recipients will also be honored at the Stillwater Area High School Commencement Ceremony, June 2018.

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APPLICATION DEADLINE: Jan. 31, 2018
NOMINEE'S NAME
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SHS/SAHS GRADUATION YEAR
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CURRENT ADDRESS OF NOMINEE
Street
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ADDRESS
City, State, Zip Code
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NOMINEE CONTACT INFORMATION
Phone
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NOMINEE CONTACT INFORMATION
Email address
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IF NOMINEE IS DECEASED, NAME OF CLOSEST LIVING RELATIVE
Closest Relative's Name
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CLOSEST LIVING RELATIVE'S ADDRESS
Street Address
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CLOSEST LIVING RELATIVE'S ADDRESS
City, State, Zip Code
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NOMINATION REQUIREMENTS
- Nominee may be living or deceased.
- The nominee must have graduated more than 10 years ago.
- The nominee must have realized distinctive achievements in their chosen field(s) that include, but not limited to, areas as business, education, science, non-profit/social justice, or government professions.
- The nominees may or may not be currently holding the positions in which they achieved major success.


PROFESSIONAL CONTRIBUTIONS
REQUIRED - Please list specific contributions nominee has made to their professional life:
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COMMITMENT TO GREATER COMMUNITY
REQUIRED - Please list specific contributions nominee has made to their greater community:
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LEADERSHIP POSITIONS
REQUIRED - Please list any leadership position held by nominee in local, state, national or international organizations. This includes boards, committees.
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EDUCATION
Please list education, research, publications or professional honors realized by nominee.
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SUPPORTING INFORMATION
Please supply any supporting information that you believe will enhance this nomination below. Please mail any hard copies of information to Rachel Anselmo at 5701 Stillwater Blvd N, Stillwater, MN 55082
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NOMINATED BY:
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NOMINATOR'S ADDRESS
City, State and Zip
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NOMINATOR'S PHONE NUMBER
Phone
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NOMINATOR'S EMAIL ADDRESS
Email Address
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