Wall of Honor Nomination Form

1
Candidate's Name* This field is required.Who is someone you think should be honored?
First Name
Last Name
2
Is {candidate[1]} living or deceased?* This field is required.
Living
Deceased
3
Candidate's Contact Information
Phone Number
Email Address
4
Family Member's Contact Information
Name
Relationship to candidate
Phone Number
Email Address
5
Candidate's Role in the District* This field is required.Choose all that apply
Northshore Alumni
Northshore Staff
Northshore Volunteer
6
Candidate's Alma Mater* This field is required.{candidate[1]} must have graduated in 2008 or earlier.
Please Select
Please Select
Bothell High School
Inglemoor High School
Northshore Networks
Secondary Academy for Success
Woodinville High School
School
Graduation Year
7
We are sorry but {candidate[1]} is not yet eligible for the Wall of Honor. Candidates must have graduated in 2008 or earlier and/or not been employed by the District in the last five years.
8
Year the Candidate Last Worked in Northshore* This field is required.{candidate[1]} must have retired or left the district more than five years ago.
9
Why should {candidate[1]} be included on the Wall of Honor?* This field is required.Include detailed, relevant, supporting information that addresses {candidate[1]}'s legacy and contributions to the Northshore community.
10
Supporting DocumentationIf you have supporting documentation, please upload that here. Otherwise our committee will be in contact to collect those items.
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
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11
Your Contact Information* This field is required.
First Name
Last Name
Phone Number
Email Address
Should be Empty: