Agenda Date: Insert Date Here

Westerville North High School 950 County Line Road, Westerville, OH 43081-1000 Main Office: (614) 797-6200 Fax: (614) 797-6201

Kurt Yancey, Principal

WESTERVILLE CITY SCHOOLS GRADS SOUGHT FOR “HALL OF FAME” AWARD

The Westerville North “Hall of Fame” is open to candidates who graduated from Westerville North High School at least ten years ago.

The Superintendent’s Student Advisory Committee at Westerville North High School and the district’s school/community relations’ office will coordinate the program.

Nominations are particularly sought of men and women who have achieved success in their career and made significant contributions to their field, as well as to society in general.

We welcome the nomination of any Westerville North graduate. Please be aware that as the nominator, it will be your responsibility to ensure that your nominee is available to attend the induction ceremony and luncheon on Friday, April 8th, 2016.

Complete the form below, and return the form to:

Principal’s Office “Hall of Fame” Nomination Westerville North High School 950 County Line Road Westerville, OH 43081-1000

Name of Nominee ______Address ______City ______State ______Zip ______Phone (Day) ______(Evening)______Graduation Year ______High School______Present Occupation______Name of Nominator ______Address ______City ______State ______Zip ______Phone (Day) ______(Evening) ______

Nomination deadline: January 29, 2016

John R. Kellogg, Ed. D., Superintendent/CEO Visit us at www.westerville.k12.oh.us

Vision: Our vision is to be the benchmark of educational excellence. Mission: Our mission is to prepare students to contribute to the competitive and changing world in which we live. Values: Respect, Inclusiveness, Community, Communication, Collaboration, Innovation, Nurturing, Trust, Accountability Westerville North High School 950 County Line Road, Westerville, OH 43081-1000 Main Office: (614) 797-6200 Fax: (614) 797-6201

Kurt Yancey, Principal

Westerville City Schools Alumni INFORMATION SHEET Please type or print responses below and mail to:

Westerville North High School 950 County Line Road Westerville, OH 43081-1000

Name______Current Address______City, State, Zip ______Phone______Westerville High School Activities and Honors: ______College/University/Post-Graduate Training Completed: ______College/University/Training Institution Attended: ______Present Career/Occupation: ______Community Involvement: ______Comments: ______Nomination deadline: January 29, 2016

John R. Kellogg, Ed. D., Superintendent/CEO Visit us at www.westerville.k12.oh.us

Vision: Our vision is to be the benchmark of educational excellence. Mission: Our mission is to prepare students to contribute to the competitive and changing world in which we live. Values: Respect, Inclusiveness, Community, Communication, Collaboration, Innovation, Nurturing, Trust, Accountability