Goshen Local Schools Hall of Fame
Nomination Form for Selection as a Student
Today's Date: _________________
Name of Candidate_______________________________________
Year of Graduation: _____________
Address: _____________________________________________
______________________________________________________
Phone Number__________________________________________
Academic/Athletic/Fine Arts Accomplishments:
Varsity Sports Participation: (Include years and # of Varsity letters earned.)
Honors and Awards (Please be specific and complete.)
Reason for Nomination:
Biographical Information (Other achievements and recognition.)
Nominator's Name, Address and Phone Number __________________________