Centerburg Schools Distinguished Alumni Award
Alumni Distinguished Trojan - To honor graduates of Centerburg Local Schools (min 15 years after graduation) who have made a significant impact on their communities and professions in one or more of the following ways:

Academic Excellence - Graduates who have demonstrated a passion for learning and have achieved academic excellence. 
Career Achievement - Graduates who have outstanding achievement in their professional field. Their achievements have brought distinctions to themselves and benefit to their community. 
Leadership - Graduates who contribute to the growth of a community through their leadership that has contributed to the common good and whose personal integrity reflects the values of our community. 
Dedicated Service - Graduates who have given extended extraordinary service or philanthropy to Centerburg Schools or has demonstrated a commitment to public service that has substantially benefited their community, state, region, or beyond. 
Heroism - Graduates who have prevailed over adversity or who have distinguished service in the Armed Forces. 
Humanitarian - Graduates who have devoted their life to the welfare of all human beings.
Community Service - Graduates who have exemplified community service through continual years of distinguished service to the Centerburg School District Community. 
Cultural Enrichment - Graduates who have contributed to the enhancement of cultural arts, music, theater, literature, film, or media.  
Honorary Trojan - To honor those who are not Centerburg High School graduates who have had a lasting and profound effect on Centerburg Schools, it's students, and it's community through their commitment to education and their active involvement, leadership, and support of the school district. 

Nomination forms must be received by January 10th to be eligible for induction the following school year. 

*Once Candidates are nominated, their nominations remain active in subsequent years. 
Email *
Nominee's Full Name:
(Please include a maiden name, if applicable)
*
Class of: *
Nominee's Phone Number:  *
Nominee's Home Address *
Please choose which award you would like to nominate them for: *
Please provide information below including why your nominee is deserving of the award, specific details on their achievements, organizations and positions held, and other individuals who may be contacted for additional information about this nominee: *
Nominator's Name: *
Nominator's Phone Number: *
Nominator's Address: *
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Centerburg Local Schools.

Does this form look suspicious? Report