P. O. BOX 24
ASHTABULA, OH 44005-0024
Nominee's Name _________________________Date Graduated _________________
Address _______________________________________________________________
City ________________________ State __________________ Zip Code ______________
Phone/Fax/E-Mail _________________________________________________________
Application Submitted by:
Name _____________________________________________________________________
Address ____________________________________________________________________
City ____________________________State ________________ Zip Code _____________
Phone/Fax/E-Mail __________________________________________________________
Committee members may contact you if more information is needed.
1. Relationship to nominee (self, spouse, sibling, daughter, friend, etc.)
2. Nominee's activities at Edgewood High School (clubs, offices held, sports, etc.)
3. Nominee's honors/recognition at Edgewood High School 4. College(s), Apprentice, Business, Military Service or Vocational School after Edgewood High School
5. Honors/Recognition achieved after school (include any military honors)
6. Nominee's honors/recognition in career field
Nominee's Personal Data
Describe in as much detail as possible why this nominee should be inducted into the Edgewood Hall of Fame. Include why the nominee is a good role model and success model for young people. Also, include how the nominee has affected the lives of others. List the nominee's community groups with which associated and/or the nominee's participation in community activities. Examples are encouraged when answering any of the above. Additional sheets may be attached to this application.
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
Nominee's photo and resume would be greatly appreciated.
Does the nominee know and consent to be nominated? Yes_________ No__________
To the best of my knowledge, the person I am nominating is free of any criminal/felonious convictions.
_____________________________________________________________________
______________________________ Signature of Person Making Nomination Date
Please E-mail any questions/concerns to:dorothyt@suite224.net
Back to the Edgewood Alumni Home Page