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DSHS Educational Foundation
Hall of Fame
Nomination Form
Accepting nominations through January 5, 2025.
Hall of Fame Nominee
*
If nominee is deceased, please indicate the name of a living relative who will accept the award. Indicate this individual's email/phone number below if known.
Nominee's Email Address (if known).
Nominee's Phone Number (if known)
Category of Nomination (check all that apply)
*
Friend of Dubuque Senior High School
Dubuque Senior High School Staff Member (must be retired from program of consideration)
Distinguished Graduate
If nominating a Senior graduate, year of graduation (if known).
Qualifications of nominee in their category.
*
Significant achievements in the category of nomination.
*
Other information you want to share with the selection committee that is pertinent to this nomination.
Your Name
*
Your Address
*
Your Phone
*
Your Email
*
Your Relation to Nominee
*
Submit
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