Distinguished Alumni Nomination Form Distinguished Alumni Award 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

Downloadable Form

Oscoda Area Schools

MSBOA District 9 Solo and Ensemble Results

Distinguished Alumni Award Nomination Form