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Distinguished Service Award Nomination

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

Candidate must be a graduate of Concordia Lutheran High School with a record of dedicated support, activity, and service to the ministry of CLHS through their gifts of time, talent, or treasure. Nominations should provide a detailed explanation to the breadth of impact eligible candidates have made serving CLHS. The Distinguished Service award will be granted when nominations allow.

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]

Answer required for "Current Occupation / Vocation:"

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

[Name of church, denomination if known, and volunteer work]*

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

How has the nominee supported Concordia Lutheran High School through their time, talents, or leadership?*

Please include specific examples of volunteerism, ministry involvement, event participation, or other ways they have strengthened the CLHS community.

Answer required for "How has the nominee supported Concordia Lutheran High School through their time, talents, or leadership?"

What impact has the nominee’s service had on CLHS, its students, staff, or broader community?*

Share how their involvement has made a lasting difference — whether through shaping programs, mentoring others, fostering community, or strengthening Concordia’s mission.

Answer required for "What impact has the nominee’s service had on CLHS, its students, staff, or broader community?"

Is there a particular story, moment, or project that illustrates the nominee’s heart for Concordia?*

Answer required for "Is there a particular story, moment, or project that illustrates the nominee’s heart for Concordia?"

Significant Honors, Awards, or Recognitions Received by the Nominee:*

Please list any notable awards, recognitions, or milestones the nominee has received that reflect their service work in the community..

Answer required for "Significant Honors, Awards, or Recognitions Received by the Nominee:"

Community Involvement*

Has the nominee been involved in volunteer work or service within their church, neighborhood, or broader community? Please describe any roles, causes, or organizations they’ve supported.

Answer required for "Community Involvement"

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's Information

Your Name*

Answer required for "Your Name"

Are you a CLHS alum? If so, what year did you graduate?*

Answer required for "Are you a CLHS alum? If so, what year did you graduate?"

Email*

Answer required for "Email"

Phone*

Number Required

Your Relationship to the Nominee:*

(e.g., fellow alum, teacher, staff member, family friend, etc.)

Answer required for "Your Relationship to the Nominee:"

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

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

Yes

Other: