---

Highland Park High School Hall of Fame Nomination Form

This form is to be used to nominate a person for the HALL OF FAME. An individual must have been a graduate of HIGHLAND PARK HIGH SCHOOL or on the Administrative or Faculty Staff. The nominee must have graduated twenty (20) years before he/she is eligible for consideration for the HALL OF FAME. Administrative or Faculty staff members are eligible any time. The final date to submit material for a nomination is December 31st of each year.

NAME OF PERSON___________________________________________________________________

ADDRESS ___________________________________________________________________________

PHONE _(____)____________  YEAR GRADUATED _______ YEARS ATTENDED _____________

YEARS ON STAFF ____________________               

PRESENT STATUS:  ACTIVE __________   RETIRED __________ DECEASED __________

In an effort to recognize the accomplishments of fellow alumnus, we have developed two categories that nominees will be considered for their endeavors. Please select one of the categories for the nominee(s) involvement:

HPHS Involvement General Notoriety (local, regional or national)

Positions held at Highland Park (e.g. coach, department head, etc.) _______________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________

Positions held with other organizations (e.g. president, liaison, etc.)_______________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________

Community Service ____________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________

What Characteristics Set This Person Apart From Others? Very Important!
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________

Name and address of the person or persons who can be contacted for additional information.
_____________________________________________________________________________________
_____________________________________________________________________________________

If known, please indicate names and addresses of persons who can represent this nominee, if the nominee is unable to attend, at the Annual Alumni Banquet and the Induction Ceremony scheduled on the 2nd Saturday of June. _____________________________________________________________________________________
__________________________________________________________________________________________________________________________________________________________________________

This person was nominated by (name, address, and phone) _____________________________________
____________________________________________________________________________________
____________________________________________________________________________________

Please make sure to attach or send any supporting documentation/material such as newspaper articles, etc. with the application. And if possible, please include an 8 x 10 photo.

RETURN COMPLETED FORM TO: Highland Park Alumni Association, Hall Of Fame Chairperson, C/O Highland Park Highland Park High School, 2424 California, Topeka, Kansas 66605.