Name of nominee: _______________________________________  Date: _______________

Home Address: ______________________________________________________________

Year of graduation from MTHS:   _________

Reason for nomination:
          Accomplishments and achievements during high school: (add attachment if necessary)






          Accomplishments and achievements after graduation: (add attachment if necessary)





Information of person nominating the candidate:
          Name: ___________________________
          Address: __________________________
          City: _______________________   State: _________  Zip: _________
          Phone: Home (_____)__________________ Work (____)__________________
          e-Mail: ____________________________________________

Nominations should be sent to:
Nominating Committee
C/O Steven Kramer
Montville High School
100 Horseneck Road
Montville, NJ 07045