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Hall of Fame Nomination Form

Mission Statement:

The mission of the Levittown School District Hall of Fame is to recognize individuals who have distinguished themselves by their contributions in their field of work, study or athletics.

Criteria:

  • A nominee must have graduated from either Division Avenue High School, Levittown Memorial High School, or General Douglas MacArthur High School a minimum of 10 years prior to nomination. Current employees are excluded.
  • Nomination forms may be obtained through the district website.
  • Nomination forms will be made available on or before January 1st of each year. Once a person is nominated they will remain in consideration for three years if not immediately selected.

Mission Statement:

The mission of the Levittown School District Hall of Fame is to recognize individuals who have distinguished themselves by their contributions in their field of work, study or athletics.


NOMINEE INFORMATION

A nominee must have graduated from Division Avenue, Levittown Memorial or MacArthur High School a minimum of 10 years prior to the nomination. Candidates will be evaluated on their achievements and recognitions in their chosen fields. They must demonstrate outstanding qualities of citizenship, leadership and have made significant contributions to society. Candidates must demonstrate these qualities in a manner that will inspire the students of the Levittown School District in their pursuit of their careers and lifestyles.

Please fill in as much of the information below as you can.

FIRST NAMELAST NAMEGRADUATION YEAR




ADDRESS



CITYSTATEZIP




E-MAIL ADDRESS


EDUCATION


CAREER BACKGROUND
Please list all of the titles and positions held by the nominee as well as the scope of his or her responsibilities.

ACHIEVMENTS
List individual awards and/or honors received by the nominee. Please include dates if known.

NARRATIVE
Use this space to summarize your thoughts and feelings as to the worthiness of the nominee for induction into the Levittown School District Hall of Fame.

NOMINATOR INFORMATION
FIRST NAMELAST NAME



ADDRESS



CITYSTATEZIP




E-MAIL ADDRESS

PHONE NUMBER