Lafayette Jefferson High School, Hall of Fame Nomination Form

Linda Stockwell Spirit of Service Award Fame Nomination Form

We are now accepting nominations for potential candidates for the Linda Stockwell Spirit of Service Award. Nominations may be made by alumni, parents, current Jefferson students, faculty, staff, administrators, and citizens from our community.

Please help us publicize this project by informing your friends, associates and others who are qualified to submit nominations.

The award:

Named in honor of alumnus and Jefferson parent Linda Stockwell (nee Armstrong) will be given annually to an adult, i.e. parent, community leader, alumnus who has offered time, talent and service to Jefferson high School.

Nominee Information
Name of Nominee:

Address:

City:

State: Zip:

Phone:

Nominator Information
Name of Nominee:

Address:

City:

State: Zip:

Phone:

Narrative
Why do you think this nominee should receive this award? Use this space to summarize your thoughts and feelings. This is your chance to explain why you selected this individual for nomination.

Specific Recognition and Achievement Information
What specific achievements or recognition has this nominee received?

Community Service
List specific evidence of involvement in community service. Please include dates if known.

Please hit the submit button only once

If you are using AOL, you cannot use the SUBMIT button at the bottom of the form. You will need to copy the text from this form and paste it into a new email message. You will then be able to enter text at the appropriate places. Email should be addressed and sent to tgolding@lsc.k12.in.us