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Butler High School38 Bartholdi AvenueButler, New Jersey 07405(973) 492-2000
Butler High School Hall of Honor Nomination Form
Nominee Name: _______________________________________ Date: _____________________
Nominee Email: _______________________________________ Phone: ____________________
Nominee Address: ________________________________________________________________
Year of Graduation/Retirement from BHS: _______________________ (see requirements)
Graduate School/Community Member (Educator, Administrator, other)
I. REASON FOR NOMINATION (please write a brief statement as to why the nominee should be selected to the Hall of Honor):
Please attach the following:Accomplishments and achievements during high school (optional).Accomplishments and achievements after graduation.Accomplishments and achievements during years of service to school/community.A letter of recommendation from the nominator and additional letters of support if available.Information and documentation to verify the nominee’s accomplishments.A suitable photograph for reproduction if available.
II. NOMINATION ELIGIBILITY:
The Butler High School Hall of Honor is open to graduates of Butler High School based on their achievements in high school, college, and/or careers. Alumni are eligible for selection ten (10) years after graduation from Butler High School.There is also a second category for a person who was school/community member who had a lasting impact on Butler High School. A school/community member is eligible for selection five (5) years after his/her service to the school/community has ended.
P RIDE T RADITION E XCELLENCE It Takes More To Be A Bulldog!
III. INFORMATION ON PERSON NOMINATING THE CANDIDATE:
Name: __________________________________________________________________________
Address: ________________________________________________________________________
City: _______________________________________________
State: ________
Zip: _________________
Primary Phone: ___________________________ Secondary Phone: ________________________
Email Address: _________________________________________________________________
NOMINATION DEADLINE:Nomination forms are due by December 1, 2013
NOMINATIONS SHOULD BE SENT TO:By mail:
Nominating Committeec⁄o BHS PrincipalButler High School38 Bartholdi AvenueButler, New Jersey 07405
P RIDE T RADITION E XCELLENCE It Takes More To Be A Bulldog!