Emporia High School Hall of Fame Nomination
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Email *
Individual Submitting Nomination *
Address of Nominator *
Phone Number of Nominator *
Full Name of Nominee *
Years Nominee Attended EHS
Date of Graduation from EHS (if applicable)
Current Address of Nominee
Current Phone Number of Nominee
Place and Date of Birth
If deceased, date
MM
/
DD
/
YYYY
If deceased, name of spouse or closest living relative
If deceased, address of closest living relative
If deceased, phone number of closest living relative
College/University (please list name of school, year graduated, degree)
Post Graduate School (name of school, year graduated, degree)
Other training or experiences of note
Why do you think this candidate has gone above and beyond and is worthy of induction into the Emporia High School Hall of Fame? *
List the names of at least three (or more) other people who might provide information regarding this candidate's accomplishments. Please provide contact information (email address, home address, phone number) if known.
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