Centralia High School Alumni Association, Centralia, Illinois

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Nomination Form

Nominate your candidate now for the Distinguished Alumni Awards!

CHSAA Nomination Form
Nominate individuals for the CHSAA Distinguished Alumni Award

Name *

Email *

Phone Number *

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Address

I wish to nominate the following individual for membership in the CHSAA Hall of Fame:

Name *

Your relationship to Centralia High School *

The relationship of this nominee to Centralia High School *

Explain why you feel this individual is deserving of membership in the CHSAA Hall of Fame: *

Additional Information you may have about the individual you are nominating:

Names of other individuals who share your support for this nominee:

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