Wall of Fame Nomination Form

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Due March 30, 2022

Nomination for Seymour High School Wall of Fame
1. Nominee has been a graduate of Seymour High School for at least ten (10) years.
2. Nominee has been recognized by peer groups as Highly successful in his/her chosen field of endeavor.
3. Nominee has received district, state, national, and/or international commendations of his/her positive contributions to his/her field.

Please provide full name of "SHS Wall of Fame" nominee. *

Approximate Graduation year from Seymour HS: * *

Accomplishments of nominee and why you feel he/she should be recognized. *

Please list your name and contact information. *

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