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Hall of Fame/John T. Cicco Lifetime Achievement Award Nomination

Please complete the form below. Required fields marked with an asterisk *

Name of Nominee*

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Class of

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Nominee's Street Address*

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City*

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Zip/Postal*

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Nominee's Phone Number*

Number Required

Nominee's Email Address*

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Below, we ask that you describe, in detail, the individual's student achievements, career achievements, and service to society, the community, and to the school. Dates, length of service, and specific details regarding the nominee's accomplishments are necessary for consideration by the Hall of Fame Committee. Please be specific and thorough using the fields below. All applications received are held and, if not selected for the next induction, will be considered in the following years.

Please describe, in detail, the individual's student achievements.*

These achievements can be high school, college, graduate, academic, athletic, or service achievements

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Please describe, in detail, the individual's career achievements.*

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Please describe, in detail, the individual's service to society, the community, and to the school.*

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Please attach a letter outlining why you feel the nominee should be inducted into the Hall of Fame or awarded the John T. Cicco Lifetime Achievement Award.*

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Choose a file or drag it here.

As it may be necessary for the Hall of Fame Committee to contact you regarding your nomination, please also submit the following information.

Submitted by:*

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Class of:

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Street Address*

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City*

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Zip/Postal*

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Phone Number*

Number Required

Email Address

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Confirmation Email

Confirmation Email *

Email Required