Nomination Form – Distinguished Alumna/us

I, _______________________________ am pleased to nominate, ________________________, 
              Nominator’s name                                                                                                    Nominee’s Name

for the award Distinguished Alumna of Camrose Composite High School.

This nominee graduated from high school in ____________.
                                                                                                Year

Please provide a biographical description of the candidate. Selection of inductees will be based on the following criteria:

1.	Demonstrates a high level of achievement in his/her vocation and has made significant contributions to that field. (Career)

2.	 Given unselfishly to make their community (local, regional or national level) a better place. (Volunteerism/Citizenship)

3.	Models high standards of excellence in personal and/or professional life. (Integrity: I.e. respectful, trustworthy, fair, caring, responsible)

4.	Received previous honors, awards, or recognition.

Nominator’s Demographics	Nominee’s Demographics	
Address:

	Address:

City/Province:
	City/Province:	
Postal Code:
	Postal Code:	
Phone Number:
	Phone Number:	
e-mail address:
	e-mail address:	

______________________________			_______________________________________
                  Date					                      Nominator’s Signature