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SULLIVAN HIGH SCHOOL ALUMNI ASSOCIATION
SULLIVAN HIGH SCHOOL APPLICATION FORM FOR
PROMINENT ALUMNI
Selection Criteria:
The Sullivan High School Alumni Association wishes to show its appreciation
to its alumni who are or have been prominent in a special area of endeavor,
are or have been prominent in their profession or a combination of both.
Therefore the Association has developed a program to recognize its prominent
alumni. Sullivan Prominent Alumni are persons who, in the area of their
domain, are outstanding, celebrated, distinguished, eminent and have shown
leadership in their field and are recognized by their peers.
A person selected to be a Sullivan High School Prominent Alumni should
have made a significant contribution to their special area of endeavor, to
their field, to their community or to society in general in one or more of
the following categories, including, but not limited to:
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Academia
Arts
Business
Civic Leadership
Social Activism |
Education
Entertainment
Humanities
Journalism |
Law
Literature
Medicine
Military |
Politics
Religion
Science
Sports |
Procedure:
Any person can nominate a Sullivan High School alumni to the honor of
Prominent Alumni upon completion of the application form and submission of
the form to the Chairperson of the Selection Committee. The Selection
Committee will review the applications for Prominent Alumni and forward
their recommendations to the Executive Committee of the Sullivan High School
Alumni Association for their final choice. Candidates who are accepted by
the Executive Committee will be inducted as Prominent Alumni at an open
meeting of the Association at the discretion of the Executive Committee.
Please complete the enclosed application form and feel free to contact
the nominee for information details If the Selection Committee members have
questions, a member of the Committee will contact you. Please print or type
the requested information and use additional paper as necessary. Please do
not send original documents--send copies only. The information you
send will be kept in the Association files and will also be kept
confidential unless released by the nominee upon induction as a Prominent
Alumni.
PART I: Nominator Information
___________________________
Name
_______________________________________________________________
Address City
State Zip
_____________ _____________ _____________ _____________
Home Phone Work Phone Fax
Email
How do you know the nominee and for how long?
PART II: Nominee Information
___________________________
Name
_______________________________________________________________
Address City
State Zip
______________ ______________ ______________ ______________
Home Phone Work Phone Fax Email
Years of attendance at Sullivan High School? __________
PART III: Reasons for Selection (Use additional sheets as needed.)
1. Category(ies) of selection (see above categories) May be more than
one.
2. What are the nominee's significant contributions?
3. Please attach copies of any of the following documentation
which supports, verifies, corroborates or authenticates the nominee's
significant contributions mentioned in question 2 above: lists, resumes,
briefs, dossiers, portfolios, newspaper articles, news releases, photos,
other, if applicable
4. Specific honors, awards or recognitions received, if applicable.
Please verify as needed.
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Send all documentation to:
Adrienne
Riesberg Hurwitz
900
Chicago Ave. #604
Evanston, Illinois 60202
847-424-8927
ace1045@comcast.net |
Download Word-97
Nomination Form
(35.0K) |