Westerville North High School 950 County Line Road, Westerville, OH 43081-1000 Main Office: (614) 797-6200 Fax: (614) 797-6201 Kurt Yancey, Principal WESTERVILLE CITY SCHOOLS GRADS SOUGHT FOR “HALL OF FAME” AWARD The Westerville North “Hall of Fame” is open to candidates who graduated from Westerville North High School at least ten years ago. The Superintendent’s Student Advisory Committee at Westerville North High School and the district’s school/community relations’ office will coordinate the program. Nominations are particularly sought of men and women who have achieved success in their career and made significant contributions to their field, as well as to society in general. We welcome the nomination of any Westerville North graduate. Please be aware that as the nominator, it will be your responsibility to ensure that your nominee is available to attend the induction ceremony and luncheon on Friday, April 8th, 2016. Complete the form below, and return the form to: Principal’s Office “Hall of Fame” Nomination Westerville North High School 950 County Line Road Westerville, OH 43081-1000 Name of Nominee _________________________________________________________________________ Address _________________________________________________________________________________ City _______________________________________________________State ___________ Zip ___________ Phone (Day) _________________________________ (Evening)____________________________________ Graduation Year ______________ High School_______________________________________________________________________________ Present Occupation_________________________________________________________________________ Name of Nominator __________________________________________________________________ Address ___________________________________________________________________________ City ________________________________________________________State ___________ Zip __________ Phone (Day) __________________________________ (Evening) __________________________________ Nomination deadline: January 29, 2016 John R. Kellogg, Ed. D., Superintendent/CEO Visit us at www.westerville.k12.oh.us Vision: Our vision is to be the benchmark of educational excellence. Mission: Our mission is to prepare students to contribute to the competitive and changing world in which we live. Values: Respect, Inclusiveness, Community, Communication, Collaboration, Innovation, Nurturing, Trust, Accountability Westerville North High School 950 County Line Road, Westerville, OH 43081-1000 Main Office: (614) 797-6200 Fax: (614) 797-6201 Kurt Yancey, Principal Westerville City Schools Alumni INFORMATION SHEET Please type or print responses below and mail to: Westerville North High School 950 County Line Road Westerville, OH 43081-1000 Name_____________________________________________________________________________ Current Address____________________________________________________________________ City, State, Zip _____________________________________Phone___________________________ Westerville High School Activities and Honors: _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ College/University/Post-Graduate Training Completed: _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ College/University/Training Institution Attended: _________________________________________________________________________________ _________________________________________________________________________________ Present Career/Occupation: _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ Community Involvement: _________________________________________________________________________________ _________________________________________________________________________________ Comments: _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ Nomination deadline: January 29, 2016 John R. Kellogg, Ed. D., Superintendent/CEO Visit us at www.westerville.k12.oh.us Vision: Our vision is to be the benchmark of educational excellence. Mission: Our mission is to prepare students to contribute to the competitive and changing world in which we live. Values: Respect, Inclusiveness, Community, Communication, Collaboration, Innovation, Nurturing, Trust, Accountability