DENISON ALUMNI ASSOCIATION

Nomination Form

DISTINGUISHED ALUMNI

Nominee_____________________________________Maiden Name__________________________________

Address___________________________________________________________________________________

City/State/Zip___________________________________E-mail______________________________________

Telephone (home)______________________(work)__________________________(cell)_________________

Year graduated from Denison High____________, Year graduated from Terrell High_____________________

Year graduated from St. Xavier’s Academy__________Year(s) taught at DHS___________________________

Years taught at THS________________________, Years taught at St. Xavier’s__________________________

Please submit the following:

*Completed application for nomination

*Typewritten letter of recommendation including significant contributions to chosen field or profession, contribution to our country through public service or military service, and outstanding measure of service to Denison schools or the community.

*Nominee resume/curriculum vitae

Submitted by:____________________________________Address____________________________________

City/State/Zip____________________________________E-mail_____________________________________

Telephone (home)_____________________(work)_________________________(cell)___________________

Please mail documentation NO LATER THAN JULY 5, 2012 to:

Denison Alumni Association

1201 South Rusk

Denison, TX 75020