2019 Hall of Fame Induction Nomination Form

1

Your Name:* This field is required.

First Name

Last Name

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2

Your Email:* This field is required.

example@example.com

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3

Your Phone:* This field is required.

Area Code

Phone Number

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4

I would like to:* This field is required.

Make a Nomination

Request to join the Selection Committee

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5

Name of Nominee: * This field is required.

First Name

Last Name

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6

Nominee is a Graduate of:

Angela Merici

Bishop David

Holy Cross

The Nominee is not a graduate of AM, BD or HC

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7

Graduation Year of Nominee (If known):

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9

I believe my nominee should be inducted because...* This field is required.

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10

Accomplishments: * This field is required.

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11

Please verify that you are human* This field is required.

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