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Community Corner

Malden High Hall of Fame nomination form

MALDEN HIGH SCHOOL ALUMNI ASSOCIATION

HALL OF FAME NOMINATION FORM

1. Information about the person you are nominating (please print or type):

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First Name --------------------------------------------------------------

Last Name ---------------------------------------------------------------

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Year of Graduation from MHS --------------------------------------

Current Address --------------------------------------------------------

Email Address------------------------------------------------------------

Telephone Number -----------------------------------------------------

2. Category of Nomination (please check one)

Arts ------------------------------------------------------------------------

Business-------------------------------------------------------------------

Community Service ----------------------------------------------------

Education ----------------------------------------------------------------

Government -------------------------------------------------------------

Media----------------------------------------------------------------------

Military-------------------------------------------------------------------

3. Outstanding Achievements - (please list) _________________________________________________________

_________________________________________________________

_________________________________________________________

_________________________________________________________

_________________________________________________________

_________________________________________________________

_________________________________________________________

4. Qualifications - To assist the Hall of Fame Selection Committee in their decision-making, please attach a brief narrative (one page or less) that expands on the

specific qualities and qualifications of this nominee.

5. Name of person making the nomination:

First Name -----------------------Last name-----------------------------------

Current address-----------------------------------------------------------------

-------------------------------------------------------------------

Best telephone number --------------------------------------------------------

Email address if applicable---------------------------------------------------

Nomination forms may be mailed to MHSAA, P.O. Box 47, Malden, MA. 02148,

or they may be emailed to Joanne Iovino at jli4671@yahoo.com or

Diane Lind at dlind420@verizon.net .

ALL NOMINATION FORMS MUST BE RECEIVED BY JANUARY 24, 2014.


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