Cleveland Heights High School Alumni Foundation | 2155 Miramar Boulevard, University Heights 44118 216-397-3871 • Fax-373-1524 • HeightsAlumni.org 2015 Cleveland Heights High School Distinguished Alumni Hall of Fame Application Nominations are being accepted for the 2014 Cleveland Heights High School Distinguished Alumni Hall of Fame. The deadline is December 31, 2014. Anyone may nominate someone for the Hall of Fame. Below is the nomination form for the Cleveland Heights High School Distinguished Alumni Hall of Fame. Nominations are accepted by mail, e-mail ([email protected]), fax (216-3731524), or hand delivered to the CH-UH Board of Education, (2155 Miramar, University Heights, Ohio 44118). NOMINATIONS CLOSE AT 4:30 P.M. DECEMBER 31, 2014. NO APPLICATIONS FOR THE 2015 HALL OF FAME WILL BE ACCEPTED AFTER THIS DATE. Nominees must have graduated from Cleveland Heights High School prior to 2004. Please complete the entire application, giving as much detail as possible. If there is additional material, include NO MORE THAN one-half page of a publications list and three pages of additional material. You may use this Word document for your application. If submitting a handwritten application, please write legibly. Nominations that are not on the appropriate form, incomplete, or not readable will be disqualified. Announcement of the selected inductees will be made in March of 2015. Name Address City/ State/Zip Resident Phone Business Phone Email Nominee _________________________________________________ _________________________________________________ _________________________________________________ _________________________________________________ _________________________________________________ _________________________________________________ Name Nominator _________________________________________________ 2015 CHHS Distinguished Alumni HOF Application 1 Cleveland Heights High School Alumni Foundation | 2155 Miramar Boulevard, University Heights 44118 216-397-3871 • Fax-373-1524 • HeightsAlumni.org Address City/ State/Zip Resident Phone Business Phone Email _________________________________________________ _________________________________________________ _________________________________________________ _________________________________________________ _________________________________________________ When completing the following, please do not use the name of the candidate. These pages will be used for judging by the Image Makers. Add as many lines as you need to complete each section Education Year of Graduation from Heights _____________________ Elementary School(s) Attended _____________________ Junior High School(s) Attended _____________________ College or University / Degrees / Major / Year of Graduation _____________________________________________________________________________ ___________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ Achievements _____________________________________________________________________________ ___________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ Community Involvement _____________________________________________________________________________ ___________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ Significant Honors/Awards (Please feel free to include an explanation of the honor or award) _____________________________________________________________________________ ___________________________________________________________________ 2015 CHHS Distinguished Alumni HOF Application 2 Cleveland Heights High School Alumni Foundation | 2155 Miramar Boulevard, University Heights 44118 216-397-3871 • Fax-373-1524 • HeightsAlumni.org ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ Principal Publications _____________________________________________________________________________ ___________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ Recommendation (Please do not use the name of the candidate) _____________________________________________________________________________ ___________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ _____________________________________________________________________________ ___________________________________________________________________ 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