Blackstone-Millville Regional High School

NEW ENGLAND ASSOCIATION OF SCHOOLS & COLLEGES, INC. BLACKSTONE-MILLVILLE REGIONAL HIGH SCHOOL 175 LINCOLN STREET

BLACKSTONE, MASSACHUSETTS 01504 FOUNDED IN 1885 (508)876-0117 (508)876-1035 FAX LINE Website: www.bmrsd.net

MICHAEL E. DUDEK KEITH A. DUCHARME PRINCIPAL ASSISTANT-PRINCIPAL Blackstone-Millville Regional High School Wall of Fame

The purpose of the Blackstone-Millville Regional High School Wall of Fame is to recognize former BMR graduates who have distinguished themselves by virtue of their outstanding contributions to the BMR school, the communities of Blackstone and Millville, or society in general after they have graduated from the Blackstone-Millville Regional High School.

Criteria for Wall of Fame:

1. Distinguished alumni a. An extraordinary contribution to society by a BMR alumnus or one who excels in their chosen field after graduation. b. An alumnus becomes eligible for nomination to the Wall of Fame 5 years after graduation from BMR.

2. Faculty a. An outstanding career as a faculty member who had a direct and significant impact on students and the communities. b. A member of the faculty must have retired from BMR. Eligible upon retirement. NEW ENGLAND ASSOCIATION OF SCHOOLS & COLLEGES, INC. BLACKSTONE-MILLVILLE REGIONAL HIGH SCHOOL 175 LINCOLN STREET

MICHAEL E. DUDEK KEITH A. DUCHARME PRINCIPAL ASSISTANT-PRINCIPAL

Blackstone-Millville Regional High School Wall of Fame

Nomination Form Nomination Procedure: Anyone may submit nominations to the selection committee. Submit nominations online by visiting www.bmrsd.net or nomination forms can be found in the Main office of the High School, 175 Lincoln St. Blackstone, Ma 01504 Nominations must be received by March 10, 2014

Name of Nominee ______Address ______Phone ______E-Mail ______

Nominee Category: o Alumni o Faculty

Year graduated from Blackstone-Millville Regional High School ______List School Activities-

Year of retirement from Blackstone-Millville Regional High School ______

Why should this nominee be inducted in the Blackstone-Millville Regional Wall of Fame?

Person Nominating ______Address ______Phone ______E-Mail ______NEW ENGLAND ASSOCIATION OF SCHOOLS & COLLEGES, INC. BLACKSTONE-MILLVILLE REGIONAL HIGH SCHOOL 175 LINCOLN STREET

MICHAEL E. DUDEK KEITH A. DUCHARME PRINCIPAL ASSISTANT-PRINCIPAL

Please call the main office at the school if you would like this document translated into a language other than English. Por favor, contate a secretaria central da escola caso deseje que este documento seja traduzido para o português Por favor, llame a la oficina central de la escuela si usted desea que este documento sea traducido al español. ..ةةةةةة ةةةةةةة ةةةةةةة ةةةةةةة ةة ةةةةةةة ةةة ةةةةة ةةةةة ةةة ةةةةةةة ةةة ةةةةة ةةةةةةة

The Blackstone-Millville Regional School District does not discriminate on the basis of race, color, sex, religion, national origin, sexual orientation or disability.