Nominee Info
First Name
*
Last Name
*
Maiden Name (if applicable)
Home Address of Nominee
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone
*
Format: (000) 000-0000.
Email
*
Employment (if retired, please indicate so)
*
Position
Class Year
or Years of Association with AHISD
Nominee is a (check all that apply)
Grad or Former Student
Faculty
Administrator
Volunteer
Being considered for
Distinguished Alumni
Lifetime Educator Award
Distinguished Service Award
Nominee is
Living
Deceased
If deceased, year of death
Next of kin for Nominee
Achievements as a student, faculty member, or volunteer while at AHHS or other AHISDschools
Contributions to AHHS and community after graduation
Contributions in other areas (Faith, Military, College, Philanthropic, etc.)
Business/Professional Achievements
Awards/Honors
Submitted by
*
First Name
Last Name
Class year (if applicable)
Home Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
Relationship to nominee
*
Signature
*
Date of Nomination
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Thank you for taking the time to prepare this nomination packet!
*
I warrant the truthfulness of the information provided in this application.
Sending Name
*
Sending Email
*
*
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