Hall of Fame Nomination Form

Harford County Retired School Personnel Association

Nominee's Last Name

Nominee's First Name

Address

Phone

Email Address

Subjects Taught

School(s)

Years Teaching HCPS

Years Teaching Other

Years Teaching Total

Outstanding contributions to HCPS (why the nominee should be honored)

Nominator's Name

Address

Phone

Email Address

Your Relationship to the Nominee

Former Fellow Teacher

Former Student

Parent/Child

Form Supervisor/Principal

Community Leader

Other

Other - Explain

Endorsements: Please list two people who endorse this nomination. Each person endorsing should include a brief statement of support. The statements may be upload to this form or may be submitted separately to HCRSPA, P.O. Box 133, Churchville, MD 21028

Name of first endorser

Name of second endorser

Upload first endorsement

Upload second endorsement