Page 15 - eCrusader-Chronicles_Fall2017

Catholic Memorial High School
Legacy Dinner Nomination Form

Any member or friend of the CMH community may submit a nomination for the 2019 Alumni and Memorial awards to be presented at
the biennial Legacy Dinner to be held in November 2019. These awards honor alumni and other benefactors whose contributions
exemplify and sustain the CMH mission. An online nomination form and previous honorees can be found at: http://catholicmemorial.
net/page/legacy-dinner.
Alumni Professional Alumni Caritas Award Young Alumni Award Memorial Award
Achievement Award For exemplary service to CMH graduate between 2002-2012 Non-alumni only
CMH graduate prior to 2002 CMH and the community
Alumnus/a has reached a level of Candidate(s) has/have
Alumnus/a has reached a level of Alumnus/a has demonstrated professional and/or personal demonstrated distinguished
excellence in his/her career, including outstanding service to Catholic achievement within 15 years of leadership and/or service to
professional achievement, distinguished Memorial High School and service graduating from Catholic Memorial Catholic Memorial while
leadership and service to the profession to the community and exemplifies while demonstrating continued service exemplifying the CMH motto
and wider community and exemplifies living the CMH motto of “Charity to CMH and the community and “Charity in All Things” in both
living the Catholic Memorial mission in in All Things” in both his/her exemplifies living the Catholic Memorial personal and professional life.
his/her personal and professional life. personal and professional life. mission in both his/her personal and
professional life.
Nominee’s Name: ______________________________________________ Nominee’s Graduation Year: ________

Award Nomination: Professional Achievement | Caritas | Young Alumni | Memorial
(Please circle one)

Nominee’s Address/City/State/Zip: _________________________________________________________________
(If known)

Nominee’s E-mail: ___________________________________ Nominee’s Phone #: (______)___________________
(If known)

Reason for Nomination:
(Please remember the more detailed information, the better. Please include a separate sheet for more space. Try to include
information on nominee’s accomplishments, achievements, performance, specific years, awards, and the person’s character.)
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________

Nomination submitted by: _________________________________________________________________________

Nominator’s Graduation Year: _________ Relation to Nominee: _________________________________________

Nominator’s E-mail: __________________________________ Nominator’s Phone #: (____)__________________
Nominator’s Address/City/State/Zip: _______________________________________

_________________________________________________________________________

Additional Info that may be useful to the Committee: _________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________

Please detach and return this page to: 15
Catholic Memorial High School, Alumni Office, 601 E College Ave. Waukesha, WI 53186