ALUMNI HALL OF FAME NOMINATION FORM

Jennings County High School

2020 HALL OF FAME

APPLICATION DEADLINE: September 30, 2020

The Jennings County High School Alumni Hall of Fame Selection Committee invites nominations for candidates for the Jennings County High School Alumni Hall of Fame. This distinguished award

honors individuals whose deeds and character exemplify outstanding achievement in their life’s work

and/or service to their communities. The honoree’s spirit and leadership are worthy of recognition and have inspired praise and gratitude among his or her peers. This is the nineth year of the JCHS Alumni Hall of Fame and up to three individuals will be selected for induction.

Eligibility requirements:

The recipient must have graduated from JCHS at least 15 years ago (no later than 2005).

The recipient has been recognized for a high level of achievement in his/her field and made

significant contributions to that field at the state, national, and/or international levels.

The recipient has demonstrated leadership, character, and service in a variety of venues from

His/her field of expertise to community, state and national initiatives.

Nominations for posthumous awards will be accepted.

I nominate: (Please type or print)

Last Name:	First Name:	MI:
Maiden Name:	Graduation Year:	Honorary Nominee:
Current Address	City:
State:	Zip:	E-mail address:
Phone (H):	Phone (W):	Fax:

Nominator’s Name:
Address	City:
State:	Zip:	E-mail address:
Phone (H):	Phone (W):	Fax:

Mail completed application to:

Mr. Dustin Roller, Principal

Jennings County High School Alumni Hall of Fame

800 West Walnut Street

North Vernon, Indiana 47265

Please answer all of the questions listed below.

We encourage you to attach additional pages if needed.

You may also include the nominee’s resume if they wish.

Applications must be postmarked no later than September 30, 2019.

ADDITIONAL INFORMATION

Why is this nominee worthy of the Hall of Fame Award? How has this nominee been a good role

model to the graduates of Jennings County High School and others?

Career/Avocation/Profession: Please indicate the special qualities/leadership skills that this nominee has exhibited in his or her life’s work and personal endeavors. What special honors, awards, or recognition has this person earned?

Volunteerism: What unique contributions has he or she made in service to his or her community? In doing so, how has this nominee exhibited outstanding character and citizenship?

Additional comments: Please cite any additional information that would benefit the Selection

Committee.

If you have questions or need more information, please contact the JCHS Principal, Dustin Roller, at 812-346-5588 or e-mail him at droller@jcsc.org.

Revised: 10/10/2019