MidviewSchool District

Nomination Form

Midview Alumni “Hall of Honor” Award

Midview Staff Member/Volunteer “Hall of Honor” Award

Due Date: January 15, 3pm, to be considered for the current year

Return to:Principal

MidviewHigh School

38199 Capel Road

Grafton, Ohio 44044

Categories and Criteria for Nomination:

  • Midview Alumni: (maximum of 5 recipients per year)
  • The candidate’s class must have graduated at least 10 years prior to selection.
  • The candidate may be a graduate of MidviewHigh School OR the 3 high schools that merged to become MidviewHigh School—GraftonHigh School, BeldenHigh School, EatonHigh School
  • The candidate may be active in a variety of fields, including but not limited to: medical, science and health; art and literature; entertainment; business and finance; government and politics; education; humanities.
  • The candidate has demonstrated leadership in his/her field in terms of career or philanthropic endeavors.
  • The candidate has significantly impacted his/her area of expertise.
  • The candidate is recognized as a person of good moral character with high standards.
  • Midview Staff Member/Volunteer: (1 recipient per year)
  • The candidate is retired from or currently not employed in the Midview School District.The candidate must not have employed by the Midview School district for the last 5 years.
  • The candidate has demonstrated leadership in his/her field or area of service.
  • The candidate is well-respected by the students, peers, and community.
  • The candidate has had a significant positive impact on students, the school district, and the community.

(OVER)

Nominator:

Please fill out the information below about yourself. Please write clearly. Incomplete applications will not be considered.

Name: ______

Address: ______

City, State, Zip:______

Home Phone: ______

Cell Phone: ______

E-mail:______

I am nominating this person for: (circle one)

Midview Alumni “Hall of Honor” Midview Staff Member/Volunteer “Hall of Honor”

Please fill out the information below about the nominee. Please write clearly. This nomination is good for the current year only. If the nominee is not selected, the nominator must complete a new nomination form for consideration in succeeding years.

Name:______

Address:______

City, State, Zip:______

Home Phone:______

Cell Phone:______

E-mail:______

Year of Graduation (Distinguished Alumni Only): ______

Length of time you have known the nominee:_____ years

Please answer the following question using specific details that support the criteria mentioned above. If handwriting, please write clearly. Please attach an additional page if necessary. Please do not attach more than 1 page.

Why do you believe this Midview Alumni or Midview Staff Member/Volunteer should be selected for recognition with a “Hall of Honor”? Please include specific details about the nominee, to include, but not limited to facts, figures, job descriptions, special honors, contributions, years of service, or any other information that will be of assistance to the selection committee.

______