Distinguished Alumni Nomination Form

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Your participation is requested in the selection of outstanding alumni of the Brenham Public Schools. Brenham ISD will have an annual celebration luncheon recognizing the history and success of both the schools and its alumni each September. If you wish to nominate someone, this form must be submitted to the Central Administration Office of Brenham ISD by June 23, 2023. Any nominations received after that date will not be considered for the 2023 awards. They will be kept on file, however, for a period of five years.

The Selection Committee will focus its consideration upon alumni who have demonstrated the character traits of leadership and service, with the nominee’s personal and professional success being an additional factor. Examples should include:

-Active participation in the community, state, or national activities
-Evidence of lasting contribution to an organization, business, or society in general
-Exhibited leadership ability
-Distinction in personal life

Name of nominee *

Mailing address of nominee *

Phone number of nominee *

Business title (if applicable) *

Nature of business or profession *

Year graduated from Brenham ISD *

Nominees Bachelor's degree, major, and college (if applicable)

Nominees Master's degree, major, and college (if applicable)

Nominees Doctorate's degree, major, and college (if applicable)

Nominees other certifications (if applicable)

Nominee's educations experiences and awards (bullet format preferred) *

Nominee's business/professional awards, honors, and achievements (bullet format preferred) *

Nominee's community service, honors, and awards (including civic, religious, youth, and philanthropic activities) *

Please list any additional information concerning the nominee that may be helpful to the Selection Committee in making its decision

Information about the nominee's family (Business partners, spouse, names, and ages of children, etc.) *

Statement by person nominating as to why this nominee should be selected to receive the Distinguished Alumnus Award *

Name of nominator *

Nominator address *

Nominator telephone *

Nominator email address *

Nominator signature. Please type your name below to certify your nomination. Thank you! *

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