Prairie Central High School Alumni Hall of Fame

LETTER OF REFERENCE FORM

PLEASE COMPLETE THE FOLLOWING

1.   Your Name  ____________________________________________________
2.   Your Address  ________________________________
       City  _________________    State  ______
3.   Your Phone Number  _______________________________________________
4.   Nominee’s Name  _______________________________________
5.   How many years and in what capacity have you known this nominee?
       Yrs.____________________  Relationship_______________________________
6.    Why should this person be considered for induction into the PCHS Alumni Hall of Fame?
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7.   Please provide background information regarding this nominee
____________________________________________________________________________________
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8.   Nominee’s other information or traits you wish to be considered:
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DEADLINE:  August 15, 2010

The P.C.H.S. Hall of Fame Committee will uphold complete confidentiality regarding each candidate's nomination status.

MAIL TO:  P.C.H.S. Hall of Fame Committee                    FAX TO:        (815)  692-2438
                   Prairie Central High School
                   411 N. 7th St.
                   Fairbury, IL 61739