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Hall of Fame Inductee Resume Name of person completing this form and Phone #:

Candidate _____________________________________________________________

Address: __________________________________ City: _____________ State: ______ Zip: ______

Home phone number: ____________________ Work: _____________ Cell: __________________

E-mail address: _____________________________________________________________________

Years worked in the Food Industry:

Date of Birth: ____________________ Place of birth: _____________________________________

Spouses name: ____________________________________

Number of children: _________________________________________________________________

If candidate deceased, date of death: _____________________

Education:

High School: ______________________________________________________________________

College: __________________________________________________________________________

Degrees: _________________________________________________________________________ Vocational:________________________________________________________________________

Apprenticeship: ___________________________________________________________________

Employment History: Place of Employment Position From To

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Certifications: _______________________________________________________________________

Accomplishments, achievements, recognitions, volunteer work, and contributions to the industry and the community:

Affiliations: 1. ________________________________________________________________ 2. ________________________________________________________________ 3. ________________________________________________________________ 4. ________________________________________________________________ 5. ________________________________________________________________

Describe your professional history:

Personal History:

___________________________________________________________________________________ In consideration of submission of this resume, I authorize the Hall of Fame to use my image, likeness, name and comments in, but not limited to, photographs, videos and audio recordings created or used for the purpose of publicity/marketing and advertising.

Signature_________________________________________________________Date___________

Sponsor: ____________________________________________

OFFICE ONLY: Date Received:_____________________

Mail to: HOF Resume, 12623 Harney Circle, Omaha, NE 68154 Email to: info@omahahospitalityhalloffame.com