JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Hall of Fame Nomination Form
Submission Deadline: 11:59 p.m., October 31, 2022
Contact us at (215) 739-1920 or
halloffame@olpr.org
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Your Name
*
Your answer
Your Email
*
Your answer
Your Phone Number
*
Your answer
Name of Nominee
*
Your answer
Address of Nominee
Your answer
Phone Number of Nominee
Your answer
Email of Nominee
Your answer
What grade school did the nominee attend?
*
St. Adalbert
Nativity BVM
Our Lady Help of Christians
Our Lady of Port Richmond
Other:
Required
Year of Graduation (optional)
Your answer
Reason for Nomination/Choose a Category (choose only one)
*
Service to the Community
Service to the Faith
Service to the Country
Excellence in Business
Excellence in Education
Excellence in Athletics
Excellence in Public Service
Excellence in Medicine/Health
Friend of OLPR
Young Alumni Award
Blessed Pauline Award (Catholic education award)
Required
In 250 words or less, tell us about your nominee (please include why he/she should be considered for this award):
*
Your answer
Send me a copy of my responses.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This form was created inside of Our Lady of Port Richmond.
Report Abuse
Forms
