Hall of Fame Former Student Nomination- Please read the requirements

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Nominees must meet the following requirements-

Students:

1. The nominee must have distinguished them self through exceptional achievement at Londonderry High School.
2. The nominee’s year of graduation must NOT be within the last five years.
3. The nominee must have displayed exceptional sportsmanship and moral conduct abiding by the Life of a Lancer criterion.
4. The nominee must have excelled in one or more activities, bringing honor to themselves and
Londonderry High School. This may include but is not limited to-
a. All State honors (athletics, academics, music or art)
b. All American or National Interscholastic Honors
c. Other extraordinary accomplishments such as establishing school or state records in his or her sport.
d. Brought honor to the school in post high school accomplishments.
5. The nominee may have distinguished himself or herself in an activity that brought honor to himself or herself in the community or state or country in her/his chosen profession

Your Name

Your Phone Number

Your Email

Your Address

Full Name of Student Nominee

Nominee's full contact information including email and phone number

Please explain, in detail, the nominee's connection to Londonderry High School

Please list the accomplishments of this nominee during their tenure at/with Londonderry High School

In detail, please explain your connection or relation to the nominee you are putting forth to the committee

References: Please provide two references for this nominee to be contacted should further information be required. Please include phone number, email address and a brief description of each reference's connection to the nominee Reference #1

Reference #2

Option 1

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If you have any other information you feel is pertinent for the committee to take into consideration, please add it here

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