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* 1. Nominee's First and Last Name?

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* 2. Nominee's Maiden Name? (if applicable)

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* 3. Nominee's Alumni Class Year? (if applicable)

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* 5. Contact information for nominee or, if deceased, suggested representative for nominee

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* 6. In 500 words or less, please summarize the nominee's significant contributions to the academic and athletic programs at our schools, to the community, and/or to the business world. Describe the nominee's leadership and how it has inspired praise and gratitude among his/her peers.

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* 7. Which category best describes the nominee? (You may select more than one)

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* 8. If available a limited number of newspaper clippings, magazine articles, copies of score books and statistics may be emailed to fsprouse@gwd51.org.

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* 9. Nominees (or their representative) will be asked to provide a photo.  A photo can be emailed to fsprouse@gwd51.org.

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* 10. Please enter your name, address, phone number and email address below for future correspondence related to the nominee.  Thank you!

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