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Distinguished Service Award Nomination

Please nominate a deserving Concordia Lutheran High School alumnus for the Distinguished Service Award.

The Distinguished Alumnus Award recognizes graduates of Concordia Lutheran High School who have demonstrated dedicated support, activity, and service to the ministry of CLHS through their gifts of time, talent, and treasure. Nominations should provide detailed examples of the nominee’s impact on Concordia and its community.

Please complete the form below to the best of your knowledge. 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

If you are unsure of the exact graduation year, please provide your best estimate and note “approximate.” We will verify in our records.

Answer required for "Graduation Year"

Nominee's Email Address (if known)

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

Answer required for "Nominee's Email Address (if known)"

Nominee's Phone Number (if known)

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

Number Required

Nominee's Address (if known)

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

Answer required for "Nominee's Address (if known)"

Nominee’s Current or Former Occupation / Vocation

List the nominee’s current role or most recent position, including title, organization, years in the role, and a brief description of their responsibilities. If retired, include their previous profession and notable achievements or leadership contributions.

Answer required for "Nominee’s Current or Former Occupation / Vocation"

Educational Background (Optional but encouraged):

Please list education completed after Concordia Lutheran High School, including degrees, institutions, or certifications.

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

Faith & Community Involvement

Briefly describe the nominee’s involvement in their church and broader community, including leadership roles or service.

Answer required for "Faith & Community Involvement"

Service to Concordia Lutheran High School

Describe in detail how the nominee has supported CLHS through their time, talents, leadership, advocacy, and/or financial support. Include specific examples.

Answer required for "Service to Concordia Lutheran High School"

Breadth and Impact of Their Service

What lasting impact has the nominee’s service had on CLHS? How has their involvement strengthened the school’s ministry, students, alumni, or long-term mission?

Answer required for "Breadth and Impact of Their Service"

Illustrative Story or Example

Share a specific story, moment, or project that reflects the nominee’s heart for Concordia and the difference they have made.

Answer required for "Illustrative Story or Example"

Significant Honors or Recognitions (Optional)

Please list any notable awards or recognitions that reflect the nominee’s leadership or service.

Answer required for "Significant Honors or Recognitions (Optional)"

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 (September 13, 2026) if selected?

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

Yes

Not Sure

Other:

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: