SOUTHWEST HIGH SCHOOL
Distinguished Alumni Nomination Form
– Nominations for 2017 are
due on March 1, 2017 --
The Distinguished Alumni
Award is a recognition designed to honor alumni of Southwest High School.
Honorees are selected for their outstanding contributions to their community,
alma mater, or country in their chosen career or community service.
The Distinguished Alumni Award
is a new tradition for Southwest, a high school with an outstanding history of
excellence. In honoring Southwest High School alumni, we hope to inspire
current students to be lifetime learners and community leaders beyond
Southwest. This recognition will be bestowed upon alumni who have exhibited or
continue to exhibit a diverse array of admirable qualities such as leadership,
generosity, integrity, dedication, and creativity and who have shared of their
talents via their occupation, special interest or contributions to Southwest.
The Committee will accept up to
three nominations per year from any one person.
1. Name of person completing
form:______________________________________________ Email:_______________________________________
Phone #:_______________________
Brief explanation of your
knowledge of/relationship to nominee:
__________________________________________________________________________
2. Name of nominee for
Distinguished Alumni Award (include
maiden name if applicable):
__________________________________________________________________________
Graduation year (if known) / era: ___________________ Living _____ Deceased ________
3. Current contact information
for nominee (or next of kin for posthumous awards). The Committee cannot
consider a nominee unless this contact information is complete.
Address: ___________________________________________________________________
Phone: ___________________________ Email: ____________________________________
4. Please thoroughly describe the experiences and
contributions of the nominee that inspire you to nominate them for this honor.
If you are nominating yourself, please include information that will allow the
Committee to verify your accomplishments. Please limit the length of your
submissions to no more than three pages. ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Please send the completed
nomination form to the Southwest Foundation, 3414 W. 47th St.,
Minneapolis, MN 55410. The Southwest Foundation will retain all applications
on-file for future consideration if a nominee is not selected as a
Distinguished Alumni Award recipient the year the nomination is received.