Editing previous response:

Please fix the highlighted areas below before submitting.

Distinguished Alumni Award Nomination

Please nominate a deserving Concordia Lutheran High School alumni for the Distinguished Alumni Award. Please complete the form below to the best of your knowledge.

Candidate must be a CLHS graduate who has demonstrated an ongoing commitment to Christian principles, the church, and the values of Concordia Lutheran High School. Candidates will have demonstrated both lifetime and personal achievement in their vocation, profession, and in serving the community. Eligible nominees will be required to provide additional background information and/ or elaborate on specific questions from the alumni award committee and commit to attending the award ceremony.

Required fields marked with an asterisk *

Nominee's Name*

Answer required for "Nominee's Name"

Maiden Name (if applicable)

Answer required for "Maiden Name (if applicable)"

Graduation Year*

Answer required for "Graduation Year"

To notify them if selected and for follow-up questions from the committee.

Answer required for "Email"

Phone (if known)

To notify them if selected and for follow-up questions from the committee.

Number Required

Street Address (if known)

To notify them if selected and for follow-up questions from the committee.

Answer required for "Street Address (if known)"

City

Answer required for "City"

Zip/Postal

Answer required for "Zip/Postal"

Educational Background (Optional but encouraged):

Please list any additional education completed after Concordia Lutheran High School, including degrees earned, institutions attended, certifications, or relevant training.

Answer required for "Educational Background (Optional but encouraged):"

Current Occupation / Vocation:*

[Title, Company/Organization, if applicable]

Number Required

Church Affiliation (and any work they have done there)*

[Name of church, denomination if known]

Answer required for "Church Affiliation (and any work they have done there)"

Please describe how the nominee demonstrates an ongoing commitment to Christian principles and the values of Concordia Lutheran High School:*

Answer required for "Please describe how the nominee demonstrates an ongoing commitment to Christian principles and the values of Concordia Lutheran High School:"

List the ways that this nominee has shown ongoing service to CLHS and the community. *

Answer required for "List the ways that this nominee has shown ongoing service to CLHS and the community. "

Please describe the nominee’s personal and professional achievements and how these reflect positively on Concordia Lutheran High School:*

Please list any notable awards, recognitions, or milestones the nominee has received that reflect a lifetime of achievement.

Answer required for "Please describe the nominee’s personal and professional achievements and how these reflect positively on Concordia Lutheran High School:"

List any other information you feel the committee needs to know about this nominee.

Answer required for "List any other information you feel the committee needs to know about this nominee. "

Nominee's Willingness to Attend the Award Ceremony (if known):*

To the best of your knowledge, would the nominee be willing and able to attend the award ceremony if selected?

Answer required for "Nominee's Willingness to Attend the Award Ceremony (if known):"

Yes

Not Sure

Other:

Nominator Information (required)

Your Full Name*

Answer required for "Your Full Name"

Email*

Answer required for "Email"

Phone*

Number Required

Your Relationship to the Nominee:*

(e.g., classmate, teacher, friend, family member, pastor, etc.)

Answer required for "Your Relationship to the Nominee:"

Would you be willing to provide additional information if contacted by the alumni award committee?*

Answer required for "Would you be willing to provide additional information if contacted by the alumni award committee?"

Yes

Other: