Nomination Form Candidates Information Candidates Name Occupation Address City State Choose your state Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Zip Phone Place of Birth Birth Date Education High School Year of Graduation College Year of Graduation Post Graduate Year of Graduation Please explain how the candidate fulfills the requirements of nomination to the Helias Hall of Fame: "has demonstrated loyalty and/or service to Helias after graduation" "Has distinguished him/herself within his or her chosen field." "Was an above average student in high school in academics, and/or in extra-curricular activities." "Exhibits high moral standards to the credit of Helias High School." Recommended By Name Phone Email If candidate is deceased, please advise who should be notified of acceptance into the Hall of Fame. Name Relationship Address City State Choose your state Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Zip Phone Biography of Nominee Please use the following space to write a biography about your nominee: Submit Nomination Form