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 *


Street Address

Address Line 2



Zip Code
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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