Nomination Form

The Hall of Fame Committee welcomes your nominations. We encourage and appreciate nominations that include substantial information about the nominee, as well as supporting documentation.

Mount Ayr Community Schools Hall of Fame Nomination Submit your nomination with this cover sheet, taking care to address each of the following areas:

1. The primary reason for nominating this individual, team, or group

2. Honors, awards, and accomplishments earned by the nominee while in high school

3. Personal & professional achievements, honors, and awards earned after high school

Please include as much information as possible for the committee to review when considering this nominee: Examples of information that is helpful to the committee may include items such as: • Newspaper & magazine articles highlighting the accomplishments of the nominee • Personal accounts explaining why this nominee should be considered • Letters of support for the nominee

Nominee_______________________________________________________________________________________

Nominee Address (if known) ________________________________________________________________________ Nominee Phone (if known) _________________________________________________________________________ Nominee Email (if known) __________________________________________________________________________

Your Name _________________________________________________________________________________

Your Address _________________________________________________________________________________

Your Phone _________________________________________________________________________________

Your Email _________________________________________________________________________________

Date Submitted _________________________________________________________________________________

Please return this nomination form and all supporting materials to: Hall of Fame Committee Mount Ayr Community School 1001 E. Columbus Street Mount Ayr, Iowa 50854 Nominations may also be scanned and submitted electronically