Hall of Fame Nomination Form – Hinsdale Central Foundation, Partnership in Lifelong Learning

The Hall of Fame Committee encourages you to nominate any person, whether a Hinsdale Central graduate or not, who has distinguished him or herself and exemplifies the values and traditions of Hinsdale Central. Please be as specific as possible when submitting the application and include as much biographical information about the nominee as possible.

Applications must be received by May 1st to be considered for the current year. Those received after May 1st will be considered for the following year.

Form

* indicates Required Field, incomplete data will delay processing

Nominee Information

Nominee*

Field of Distinction*

If the nominee attended Hinsdale Central H.S., what was his/her year of graduation?*

List the activities in which the Nominee was involved while at Hinsdale Central

The Nominee's current position

Email*

Home Address*

City*

State*

Zip*

Home Phone Number*

Business Address

City

State

Zip

Business Phone Number

Nominator Information

Name*

Email*

Home Address*

City*

State*

Zip*

Home Phone Number*

Business Phone Number

List One Other Person to Contact for Further Information Regarding This Nominee

Name*

Home Address*

City*

State*

Zip*

Home Phone Number*

Business Phone Number

Nominee Biographical Information

Please complete the following information about the Nominee. Be as specific
as possible and include as much pertinent information as is currently available.
What outstanding contributions, work, service, etc. has the Nominee performed,
and when did this occur.*