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INTERBORO HALL OF FAME
NOMINATION FORM

 

Biographical Data of Candidate

First Name: 
(Maiden Name): 
Middle Name:  
Last Name:  
   
Address:  
Phone: 

Category of Honoree

Alumni: 
Staff:
Community Member: 

High School Graduation

School:
Year:

Significant Accomplishments

Nomination Essay
 
In 250 words or less, explain why you believe this individual should be inducted into the Interboro Hall of Fame.  Please be detailed and include as much factual information as
possible.

 

Information about the Nominator

Name:
Address:
Telephone:
E-Mail:
Relationship to Candidate:
Date Submitted:
 
   

 






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