Nomination form template

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Alumni Inductee: Student athletes, scholars or ASB activity participants become ... honor of being elected to the CVUSD
Richard Gird Educational Hall of Fame Chino Valley Unified School District

The purpose of the Chino Valley Unified School District (CVUSD) Richard Gird Educational Hall of Fame is to recognize distinguished CVUSD graduates, employees, and major contributors for their individual contributions in scholarship, athletics, Associated Student Body (ASB) activities, career, community service, and/or society as a whole to the CVUSD community. The honor of being elected to the CVUSD Richard Gird Educational Hall of Fame represents individuals who, through their individual actions, contributed to the established vision of the District.

Eligibility Criteria Alumni Inductee: Student athletes, scholars or ASB activity participants become eligible for nomination ten (10) years after graduating from any CVUSD school. Alumni must have earned individual recognition at a District school by their scholastic achievement, athletic accomplishments, ASB activities or community service; Alumni must have earned individual recognition after graduation by their postsecondary scholastic achievement, athletic accomplishments, career/professional accomplishments, military service, or community service; and Alumni must have led an exemplar life of community service and good character must have followed the student after graduation. Distinguished Service Inductee: The nominee must have made extraordinary contributions to CVUSD resulting in significant benefit or exceptional honor to the District or one of its schools. Employee Inductee: A former employee becomes eligible for nomination five (5) years after retiring or departing from CVUSD. Eligible candidates must have evidence of an outstanding career within the CVUSD. The nominee must have had a direct and significant impact on scholastics, athletics, or other student centered activities. He/she must have had an exemplary life of community service and good character reflecting credit to the person, the school, and society.

Please return the completed form, along with supporting documentation and digital photo of nominee, by Sunday, December 31, 2017 to CVUSD Communications Office, 5130 Riverside Drive, Chino, CA 91710; [email protected] Student Achievement, Safe Schools, Positive School Climate Humility, Civility, Service

Richard Gird Educational Hall of Fame Category: Alumni

Distinguished Service

Nominee Information Name of Nominee: Mailing Address: City, State, Zip Code: Contact Information: Home or Mobile Phone

Email

Nominators Information Name of Nominator: Mailing Address: City, State, Zip Code: Contact Information: Home or Mobile Phone

Email

Signature

If nominee is deceased, provide family or friend contact information. Name: Mailing Address: City, State, Zip Code Contact Information: Home or Mobile Phone

Email

Employee

Richard Gird Educational Hall of Fame Alumni Inductee Nomination Year Graduated: Ayala High School

Chino High School

Chino Hills High School

Don Lugo High School

Alternative Education

Academic: (Academic achievements, such as GPA, Top Ten, CSF, scholarships, awards, honors, etc.)

Athletic: (Block letter in sports, MVP, GAA, CIF, All League, honors, awards, etc.)

ASB Activity: (Class or club officer, honors, awards, etc.)

Community Service: (Honors, awards, community projects, fundraising, humanitarian etc.)

College/University: (school name, graduate year, degree received, honors or awards)

Athletic: (List sports achievements, college or professional team, honors or awards received)

Career/Professional: (Career/professional achievements)

Military Service: (Branch, years of service, rank, awards and honors received)

Community Service: (Post high school involvement in CVUSD or the greater Chino Valley)

Additional Comments:

Richard Gird Educational Hall of Fame Distinguished Service Inductee Nomination Please describe the nominee’s extraordinary contributions that resulted in a significant benefit or exceptional honor to a particular District school or to the District as a whole. Please include as much contribution detail as possible such as dates, program, project, location, honors/awards received, and resulting success.

Richard Gird Educational Hall of Fame Employee Inductee Nomination Nominee’s Prior Work Location(s) District Office: School Site: Years of Service: Please list direct and significant impacts of this nominee on scholastics, athletics, or District-related activities:

Please list examples of nominee’s exemplary life of community service and good character reflecting credit to the person, the school, and society:

Please list nominee’s award and achievements:

Additional comments:

Richard Gird Educational Hall of Fame Additional Information