Sperry Alumni Association - Printable Nomination Form

SHS Honored Alumni Nomination Form

Please print out, complete and mail the form below to:

Sperry Alumni Association
c/o Honored Alumni Nomination
P.O. Box 417
Sperry, OK 74073


Nominee Information: A * indicates required
*Nominee Name:	______________________________________
*Graduation Year:	______________________________________
*Information Supporting Your Nomination: (Attach additional if necessary) _________________________________________________________________ _________________________________________________________________ _________________________________________________________________ _________________________________________________________________ _________________________________________________________________ _________________________________________________________________ _________________________________________________________________
Tell Us About Yourself:
*Name:	__________________________________________________
*Address:	__________________________________________________
*City:	__________________	*State: _______	*Zip	___________
*Telephone:	_______________________________ (Include Area Code)
E-mail Address:	______________________________________
*Graduation Year:	_______________