Plain Local Schools Alumni Association Nomination for the Alumni Hall of Distinction The Alumni Hall of Distinction is designed to recognize Plain Local Schools Alumni and other organizations who have distinguished themselves and have exemplified the education and moral values that is respected by their community and school system. To be considered for this honor, nominees must meet the eligibility requirements as defined by the Plain Local Schools Alumni Association. Those selected into the Hall of Distinction will be memorialized with a permanent likeness and inscriptions at GlenOak High School. I. II. Application Guidelines a. Nominations and supporting material must be in writing to the Plain Local Schools Alumni Association. 1. Application packets are available at Plain Local Schools Administration Building or at the Foundation / Alumni page at www.plainlocal.org 2. If you are unable to pick up a packet, call 330-491-3870, and one will be mailed to you. B. To qualify for induction in a particular year, nominations must be received no later than March 1, 2009 for induction in September 2009. C. A selection made up of association members and members of the civic and business community shall review applications and make a final decision. Final decisions remain with Plain Local Alumni Association. D. All persons making nominations will be informed of the final selections. Eligibility requirements A. The alumni must be a graduate of either Middlebranch, Glenwood, Oakwood or GlenOak high schools prior to 1999. B. Non graduates may be nominated based on their association or contributions to the history and welfare of the Plain Local School District. C. The nominee shall have distinguished himself/herself in one or more the following areas: 1. (Emphasis) Community Contribution 2. Professional Accomplishments 3. Education 4. Political Leadership 5. Athletic Endeavors 6. Humanitarian Contributions 7. Other Accomplishments Mail Completed application forms to: PLSAA, c/o 1801 Schneider St. N.E., Canton, Ohio 44721 Deadline-March 1, 2009 PLSAA Alumni Hall of Distinction 2009 Nomination Form Primary information used to select the nominees will include one or more of the eligibility criteria. Additional information provided concerning activities and responsibilities will also be considered. First Name _____________________________________ Last Name _____________________________________ Middle Name ___________________________________ Maiden Name ___________________________________ Street Address_________________________________________________ City, State, Zip ________________________________________________ Phone number, area code ________________________________________ Business Address ______________________________________________ City State, Zip _________________________________________________ Phone number, area code _________________________________________ High School graduated: Middlebranch ________________ Glenwood __________________ Oakwood ___________________ GlenOak ___________________ Graduation year _____ Deceased: ___________ (If deceased, please indicate year of death) Nominee should be: Contacted and agreed to this nomination, unless deceased. Yes Nominee of family representative must attend the induction ceremony. Yes. ______ ______ Education: Technical, college or university –include degree, school attended and year received: Nominees present profession, awards and accomplishments Past professional accomplishments, dates and awards Community affiliations, contributions, recognitions, honors (List organizations, years involved, offices held) Contribution to Plain Local School District Please indicate in a written essay any additional information that may help the selection committee. This essay could be a personal statement about the character of the person. Attach these additional sheets to the nomination form before mailing. This essay is important as past nominations have been hurt due to lack of information. Please complete this thoroughly to give the nominee the best possible chance for receiving this award. Talk with the nominee and don’t leave anything out. Nominator’s name, address and phone number When the nomination form is complete, mail the form to: PLSAA 1801 Schneider St. N.E. Canton, Ohio 44721