WATERLOO WEST HIGH SCHOOL HALL OF FAME
Nomination Form for West High Alumni
*Please note: In order to complete this application you must copy and paste the information below on a word document. Print it out and give it to one of the following: Academic Dean or The West High Student Services Office located at: West High School, 425 E. Ridgeway Ave., Waterloo, IA, 50702.
*For more information, please contact Beth Wagner, West High Academic Dean, at 433-2700.
Submitted by:
Telephone:
E-mail:
Date submitted:
Nominee:
Business Address:
Home Address:
Telephone:
Year graduated from West High:
High School Accomplishments (Awards, honors, extracurricular activities, leadership positions):
Post-Secondary Education/Training:
Employment (Position, years, description):
Professional Awards, Honor, Achievements:
Community Service/Philanthropy:
Military Service (including years of active duty and honors/awards):
Please describe why this alumnus should be inducted into the West High Academic Hall of Fame. Include all information which you believe will assist the committee in evaluation your nominee.