Bath Local Schools
Hall of Fame Nomination Form

Purpose: To formally recognize those individuals who have graduated from Bath High School or have been contributing members to our Bath community that have excelled in athletics, community service or their professional careers.

Eligibility:

1. Any Bath High School alumni or contributing community member. In order for alumni to be nominated, they must have graduated at least twenty years prior to their nomination.

2. Nominees must have received local, state or national recognition for accomplishments in the category for which they are nominated.

3. The candidate must be of good character and in good standing with the community.

Required Documents: This nomination form and two letters from individuals supporting your nomination must be submitted by July 31st to be considered for this year’s Hall of Fame ceremony. Applications received after July 31st will be considered for the next induction ceremony. Any nominations not selected will automatically be used for the next cycle of nominations. Nomination forms must be mailed to Bath Administration Office 2650 Bible Road Lima, OH 45801 or emailed to Missy Vandemark, Administrative Secretary, vandemarkm@bathwildcats.org. Questions can be answered by calling 419-221-0807. If the nominee is deceased, please include name of nearest relative.

Nominee’s Name: ___________________________________________ Phone Number: ________________

Nominee’s Address: _____________________________________________________ _____________________________________________________ _____________________________________________________

Please check all areas of achievement the nominee has distinguished himself/herself in:

___	Professional Achievement ___	Athletic Achievement ___	Community Service

Nominator’s Information:

Nominator’s Name: ________________________________________	Phone Number:__________________

Nominator’s Address: _____________________________________________________ _____________________________________________________ _____________________________________________________

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Bath Local Schools
Hall of Fame Nomination Form

List positions held and honors received by the nominee, or any other information you wish to include. Attach an additional sheet if necessary.

__________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________

Write a statement describing why this nominee would serve as a fine role model for the current students that attend Bath Local Schools. Attach an additional sheet if necessary. __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________

__________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________

Name, address and telephone number of two endorsements of this nomination:

Name

_________________________

_________________________

Address

________________________________ ________________________________

________________________________ ________________________________

Phone Number

__________________

__________________

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