Nominee Name

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* 1. Nominee Name

Nominee Current Email Address and Phone Number

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* 2. Nominee Current Email Address and Phone Number

Nomination in following categories

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* 3. Nomination in following categories

Individual Submitting Nomination Form

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* 4. Individual Submitting Nomination Form

Phone Number and Email of Individual Submitting Nomination

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* 5. Phone Number and Email of Individual Submitting Nomination

Relationship to Nominee

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* 6. Relationship to Nominee

Activities or Sports and Years of Participation

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* 7. Activities or Sports and Years of Participation

Briefly list achievements and contributions to the Eaglecrest Athletic or Activities Department. List student's
statistical records (if known) and contributions as a leader during his or her time at EHS

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* 8. Briefly list achievements and contributions to the Eaglecrest Athletic or Activities Department. List student's
statistical records (if known) and contributions as a leader during his or her time at EHS

List local, state, and national honors along with any special recognition during his or her years as an Eaglecrest
student

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* 9. List local, state, and national honors along with any special recognition during his or her years as an Eaglecrest
student

Description and evidence of continuation in the profession or field beyond Eaglecrest High School (college and professional honors and achievements)

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* 10. Description and evidence of continuation in the profession or field beyond Eaglecrest High School (college and professional honors and achievements)

T