Distinguished Alumni Nomination Form 
(Please print or type; if necessary, use additional pages to provide details)
NOMINEE:
First Name Middle Initial Last Name at Graduation: _______________________________________________________
Current Last Name _________________________________ Year of OHS Graduation ____________ (at least 10 years prior)
Address _________________________________________________________________________________________
Home Phone ________________________ Work Phone ________________E-mail Address______________________
Name(s) of spouse and children: _______________________________________________
If deceased, please give date of death and address of nearest living relative _____________________________________________________________________
Current Occupation of Nominee ________________________________________________
Please attach additional pages with narratives that include the following information.
1. Nominees may have succeeded at the local, regional, national, or international levels in any area of endeavor, including academia and education, arts, business, media, public service, medicine, military, and science. Please state the nature of achievement(s), including dates if appropriate and possible.
2. The nature of philanthropy and/or community service performed by nominee. 3. Documentation supporting the nomination.
NOMINATOR:
Name __________________________________________________________________________________
Address _____________________________________ E-Mail __________________________
Home Phone _________________________________
Your relationship to nominee _____________________________________________________
Signature ____________________________________________________________________
Note: Information on this form will NOT be made public without permission of the nominee. Return form by February 1st to Seth Alda, Assistant Principal, Oscoda Area High School, PO Box 694, Oscoda, MI 48750 aldas@oscodaschools.org