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Nomination

Hall of Fame Nomination (pdf document)
File Size: 127.85 kb

Century High School Hall of Fame -- Nomination Form
Please attach any additional endorsements and/or information that may enhance the impact of the nomination.

Please provide as much of the following information as possible.

* 1.	Name of Inductee:

Class of:

* 3.	Check all that apply:

Address:

City:

State:

Zip Code

8.	Email Address:

9.	Phone Numbers: (Home, Work and/or Cell Phone)

* 10.

Achievements/Honors: Please provide a detailed description of the achievement(s) for which the nomination is being made. Include any past honors the nominee has received (include as much documentation as possible - - e.g.: resume, vitae, bio news clippings, etc.)

* 11.

Name of Nominator:

12.	Nominator's Email Address:

* 13.

By checking this box, you authorize us to contact you regarding this nomination and serves as an electronic signature. You will be contacted by the committee chairperson at one or all of the forms of contact information you listed above if the committee has any questions.

I agree

Please choose to either submit your nomination through the online form on this page or by downloading the file below if you would prefer to print and send in a hard copy of your nomination.