Nomination Form -

Baldwinsville Community Hall of Fame for Visual & Performing Arts

Please Check One:

CONTRIBUTOR
MENTOR
STUDENT

Description: *CONTRIBUTOR: A person who has givien time, talent or resources to the Visual and Performing Arts program of BCSD, its staff or students. *MENTOR: A current, former or retired BCSD staff member or administrator who has provided leadership, guidance, inspiration and innovation to the Visual & Performing Arts program in the BCSD. *STUDENT: A person who attended the BCSD and/or participated in the Visual & Performing Arts programs (academic or extra-curricular BCSD-sanctioned activities.)

Nominee Name *

First

Last

Street Address *

Apartment, suite, etc.

City *

State *

ZIP Code *

Phone number *

Checkboxes

STUDENT
STAFF
COMMUNITY

Years of involvement with the BCSD Visual & Performing Arts programs, if applicable (eg. 1990-2020)

BCSD Visual & Performing Arts contributions/participation

Awards/recognitions (past and present)

Personal comments

Nominator's Name *

First

Last

Nominator's Email

Nominator's Phone Number *

Nomination forms can also be downloaded and submitted electronically to bvilleartshalloffame1@gmail.com.

Forms can also be downloaded, printed and mailed to 209 Lexi Lane, Baldwinsville, NY 13027