Butler High School38 Bartholdi AvenueButler, New Jersey 07405(973) 492-2000

Butler High School Hall of Honor Nomination Form

Nominee Name: _______________________________________ Date: _____________________

Nominee Email: _______________________________________ Phone: ____________________

Nominee Address: ________________________________________________________________

Year of Graduation/Retirement from BHS: _______________________ (see requirements)

Graduate School/Community Member (Educator, Administrator, other)

I. REASON FOR NOMINATION (please write a brief statement as to why the nominee should be selected to the Hall of Honor):

Please attach the following:Accomplishments and achievements during high school (optional).Accomplishments and achievements after graduation.Accomplishments and achievements during years of service to school/community.A letter of recommendation from the nominator and additional letters of support if available.Information and documentation to verify the nominee’s accomplishments.A suitable photograph for reproduction if available.

II. NOMINATION ELIGIBILITY:

The Butler High School Hall of Honor is open to graduates of Butler High School based on their achievements in high school, college, and/or careers. Alumni are eligible for selection ten (10) years after graduation from Butler High School.There is also a second category for a person who was school/community member who had a lasting impact on Butler High School. A school/community member is eligible for selection five (5) years after his/her service to the school/community has ended.

P RIDE T RADITION E XCELLENCE It Takes More To Be A Bulldog!

III. INFORMATION ON PERSON NOMINATING THE CANDIDATE:

Name: __________________________________________________________________________

Address: ________________________________________________________________________

City: _______________________________________________

State: ________

Zip: _________________

Primary Phone: ___________________________ Secondary Phone: ________________________

Email Address: _________________________________________________________________

NOMINATION DEADLINE:Nomination forms are due by December 1, 2013

NOMINATIONS SHOULD BE SENT TO:By mail:

Nominating Committeec⁄o BHS PrincipalButler High School38 Bartholdi AvenueButler, New Jersey 07405

P RIDE T RADITION E XCELLENCE It Takes More To Be A Bulldog!