Online Nomination Form

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Smithtown Alumni Association : Alumni Hall of Fame : Online Nomination Form

Hall of Fame Nomination Form

Qualification Guidelines

Download and mail a nomination form or save a tree and fill our online nomination form below.

Alumni Hall of Fame Nomination Form (56 KB)

Online Nomination Form

* Required

Title

First Name *

Last Name *

Email Address *

Home Phone Number *

Graduation Year *

Graduation School *

Home Address *

City *

State *

Zipcode/Postcode *

Country *

Occupation/Title *

Company *

Work Address *

City *

State *

Zipcode/Postcode *

Country *

Work Phone Number *

Work Email

Colleges or Schools Attended (Please list dates and degrees) *

Honors, Special Accomplishments, etc. (Please attach supporting materials if available) *

Attach File (100Mb Limit *)

Community Service (Youth groups, church, school, civic organizations, etc.) *

Other reasons this alumnus should be chosen for the award *

Award Criteria *

Explain why the individual is deserving of this recognition (500 words or less) *

Preferred Contact Method *
Phone
Email

Your First Name *

Your Last Name *

Your Email Address *

Your Phone Number *

Your Relationship to the Nominee *

Enter Word Verification in box below *

Qualification Guidelines

The nominee must have graduated from Smithtown High School at least ten (10) years prior to nomination. The qualifications for induction are:

Pride of Smithtown Schools will honor success and achievement in a given field.
Hero of Smithtown Schools will honor social commitment, selflessness, and service to humanity.
Inspiration of Smithtown Schools will honor an everyday person who has overcome adversity, or has proved to be a role model through everyday actions.
Loyalty to Smithtown Schools will honor a person who has devoted energy, drive and enthusiasm to the Smithtown school district through the years.

Online Nomination Form

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Online Nomination Form

Qualification Guidelines