Panther Prowl
Panther Prowl Jan 09 MINE.pmd - Elyria Catholic High School
Panther Prowl Jan 09 MINE.pmd - Elyria Catholic High School
- No tags were found...
Create successful ePaper yourself
Turn your PDF publications into a flip-book with our unique Google optimized e-Paper software.
Hall of Fame Nomination Form<br />
Elyria Catholic Alumni Association Hall of Fame Award Nomination Form<br />
Please circle the award for which you are nominating somebody:<br />
Distinguished Alumni Outstanding Educator Exceptional Service<br />
Please complete the Nomination Form and send along with as much information on the nominee as possible (i.e.<br />
resume, letters of recommendation, newspaper articles, etc.).<br />
Name of Nominee: ________________________________________________ Maiden: _______________________________<br />
Year of ECHS Graduation (if applicable): _________________<br />
Home Address: _____________________________________________City: ___________________State: ____ Zip: _______<br />
Home Phone: _____________________________ E-mail: _______________________________________________________<br />
Education: College or University ____________________________________________________________________________<br />
Year graduated: ______________ Degree: ___________________________________________________________________<br />
Honors or Awards:_______________________________________________________________________________________<br />
Career/Professional<br />
Career/Profession: _______________________________________________________________________________________<br />
Years of Service: ___________________________ Position: _____________________________________________________<br />
Honors or Awards: _______________________________________________________________________________________<br />
Community/Public Service – list nominee’s community and public service activities:__________________________________<br />
_______________________________________________________________________________________________________<br />
_______________________________________________________________________________________________________<br />
Please answer the following question using specific details that support the criteria mentioned above. Please use the reverse<br />
side of this page if necessary and write legibly. Attaching handwritten or typed pages is appropriate.<br />
Why do you believe this individual should be selected for recognition with an ECHS Hall of Fame Award? Please include any<br />
relevant facts, figures, job descriptions, special honors, contributions, years of service, or any other information that will be of<br />
assistance to the selection committee:<br />
_______________________________________________________________________________________________________<br />
_______________________________________________________________________________________________________<br />
_______________________________________________________________________________________________________<br />
_______________________________________________________________________________________________________<br />
_______________________________________________________________________________________________________<br />
_______________________________________________________________________________________________________<br />
Nominator Information:<br />
Name: ______________________________________________________________<br />
Address: _______________________________________________________________________________<br />
City, State, Zip: ______________________________________________<br />
Home Address: _____________________________________________City: ___________________State: ____ Zip: _______<br />
Home Phone: _____________________________ E-mail: ______________________________________________________<br />
Cell Phone: _________________________________________________<br />
This nomination will be kept on file for five years for consideration. Any new information added to a nominees’<br />
file in subsequent years will start the time frame over again.<br />
Mail To:<br />
ECHS Development Office<br />
725 Gulf Road<br />
Elyria, OH 44035