The nominee must be a graduate of Dodgeland High School (or Juneau, Clyman or Lowell/Reeseville High School prior to 1971). The nominee must also have graduated from high school a minimum of 10 years before being nominated. This form is due March 1st.
Nominee Information:
Nominee:
Graduation Year:
Street Address:
City:
State:
Zip Code:
Phone Number:
Email Address:
Describe why you feel this nominee is worthy of this honor:
Nominator Information:
Nominated by:
Email Address
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