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Administration: Principal Kelly Carrell

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Miami Distinguished Hall of Fame Nomination Form

by Kelly Carrell

February 18, 2010

Miami Independent School District
DISTINGUISHED ALUMNI HALL OF FAME
NOMINATION FORM
Application Deadline: April 2, 2010
As part of the Miami ISD School district’s focus on continuous quality growth for all, the Miami ISD School Distinguished Alumni Committee invites nominations for candidates for the Miami ISD Distinguished Alumni Hall of Fame. This award honors alumni whose deeds and character exemplify outstanding achievement in
their life’s work and/or service to their communities. An honoree’s spirit and leadership are worthy of recognition and
have inspired praise and gratitude among his or her peers.
Requirements for Eligibility:
· The nominee must have graduated from Miami High School at least 5 years ago.
· The nominee must have a special achievement in their area of specialty and/or received honors, awards, or
other recognition on a local, regional, national, or international level.
· The nominee has demonstrated leadership, character, and service to society in general or to a specific segment
of society.
· Nominations for posthumous awards will be accepted.
Nomination:
Nominee’s last name: __________________________ First name: _____________________________ MI: ______
Maiden name: _______________________________Graduation year: ____________
Address: ______________________________________________________________ City: __________________
State: __________________ Zip: ____________ E-mail address: ________________________________________
Home Phone: ____________________Work Phone: _____________________ Fax: ________________________
Nominator’s last name: ________________________ First name:_____________________________ MI: _______
Address: ______________________________________________________________ City: __________________
State: __________________ Zip: ____________ E-mail address: ________________________________________
Home Phone: ____________________Work Phone: _____________________ Fax: ________________________
Mail completed application to:
Miami ISD
PO BOX 368
Miami, Texas 79059
Attention: Kelly Carrell, Principal—Distinguished Alumni
Please complete the form on the reverse side. Attach additional pages if necessary.
SUPPORT DATA
(Please type or print legibly)
List any special achievements, honors, or awards of the nominee:
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List any special contributions the nominee has made in the areas of leadership, character and service to society. Please
include how the nominee has displayed the guiding principles of Miami ISD (honesty, respect, responsibility, compassion
and hard-work) through their contributions:
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List any meritorious awards the nominee has received for public, community or military service:
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Please summarize why the candidate should be inducted into the Miami High School Distinguished Alumni Hall of Fame and add any additional pertinent accomplishments not covered in the lists above. Please include titles of the nominee.
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