Hall of Fame Nomination

Print the Following Form

2 0 1 0
NOMINATION FORM
Schenectady City School District Hall of Fame
Honoring The Lifetime Achievements of Schenectady Graduates

Candidate's Name________________________________________

Address _____________________________________________

_____________________________________________________

Phone ____________________

Sponsor Name ____________________________________

Address __________________________________________

__________________________________________________

Phone _______________________

School and Year of Graduation
Please circle the school: Nott Terrace, Mont Pleasant, Linton, Schenectady High School
Year of Graduation: __________

In the space below outline the professional career of the nominee and indicate why this person should be considered for the Hall of Fame. Please feel free to attach supporting documentation.

In the space below, provide a brief description of the candidate’s achievements, awards, honors, prizes, appointments, titles, etc. Please feel free to attach supporting documentation.

Is there anything else that the committee should consider in weighing this person’s application?

Please attach any pertinent material. Material submitted will not be returned.

Completed nomination forms with attachments should be sent to:
Jerry Rosen
Schenectady High School
The Plaza
Schenectady, New York 12308