Driving Directions – Montoursville Area School District

Alumni Posthumous Award Application

Posthumous Alumni Award Nomination Criteria

This award shall be made posthumously to graduates whose life achievements can be recognized using the award criteria from the following categories: Career Achievement, Local Business Community Impact or Community Volunteer Service. The Alumni Posthumous Award shall be open each year to any alumnus or alumna who graduated from Montoursville Area High School no less than twenty (20) years prior to that nomination year.

Nominator: Please provide the following:

Submission of this Nomination Form
Letter of support/overview/or summary describing specifically how this nominee has demonstrated impact on the community through their business success, their commitment to philanthropy, community service and volunteerism, or on employing local high school graduates.
Weblinks to publications, accomplishments or any other information that demonstrates the nominee’s qualifications for distinction.
Photo of the nominee, if possible (not required at this time)

Nominee Information

Graduation Year:

First Name:

Last Name:

Occupation/Employment:

Survivor Address:

Home Phone:

Work Phone:

E-mail:

Nominator's (Your) Information

First Name:

Last Name:

Relationship to Nominee:

Address:

Home Phone:

Work Phone:

Email:

Narrative, if needed (maximum 1,000 characters)

I certify, to the best of my knowledge, that the information I have provided is accurate.

Signature of Nominator:

Date:

By signing my name above, I am electronically signing this application.

Reminder
All materials must be received no later than September 1st to be considered.

MASD Foundation Board members, Selection Committee members and their immediate family members are not eligible for any of these awards.

MASD Foundation
PO Box 235
Montoursville, PA 17754

Click on the Submit button below to send to the Foundation.

Upload a letter of support, overview or summary here:

Maximum upload size: 25.6MB