23-24 Community Recognition Awards  Outstanding Alum      
NOMINATION FORM
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Email *
Name of Group or Individual Making the Nomination: *
Contact Address: *
Contact Phone Number: *
Nominee: *
Grades Attended Holt Public Schools: *
Year Graduated: *
Current Employment: *
Describe the nominee's "story" of growth and success and the way it positively reflects on the Holt Public School District, citing specific examples where possible: *
Provide examples of how his or her involvement with Holt Public Schools and our learning community as a community member, volunteer and/or contributor of time, money, professional expertise or influence has proven significant citing specific examples where possible: *
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