Name of the person you're nominating (required):

    Name of the nominee while attending District 61 (if different):

    Grade levels and years the nominee attended District 61:

    Nominee's noteworthy activities or accomplishments since attending school in District 61:

    Additional information:

    Nominee’s contact information (any of the following would be helpful):

    Nominee's address:

    Nominee's phone number:

    Nominee's e-mail address:

    Your contact information (optional):

    Your name:

    Your address:

    Your phone number:

    Your e-mail address:

    May we contact you regarding your nomination?


    Is there anyone else you recommend we contact for more information about your nominee?

    Thank you for your nomination!