Sylvania Schools Distinguished Alumni Hall of Fame
Nomination Form

Nominations received by October 31 will be considered for the Hall of Fame the following March.  All nominations remain active for 2 additional years if not selected the first year.

NOMINEE INFORMATION:

Date:   	

Name  	

Spouse (if applicable)   	

Children (if applicable)  	

Currrent Address	 	

Phone

Email

Year of Graduation

From (circle one)   Burnham	Sylvania	Northview	Southview

This nomination is submitted by:

Your Name	 	

Address	 	

Phone	 	

Email  	

Relationship to nominee   	Have you nominated this person before?   	

How long have you known the nominee?   	

If you graduated from Sylvania Schools, please list your graduation year and school

Please submit your reasons for nominating this person. You may use the back of this form or send additional letter or information.

Nominees must meet the following criteria to be considered:
◆ graduated from Sylvania Schools at least 10
years prior to the current year
◆ achieved local, state or national recognition
◆ made significant contributions to mankind
◆ can be living or deceased
◆ must be of excellent character

Please return to: Selection Committee Chair Sylvania Schools Foundation
4747 N. Holland Sylvania Road
Sylvania, OH 43560

Questions can be submitted to SylvaniaSchoolsFoundation@SylvaniaSchools.org