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      Nomination Form

      Please fill out the application completely then click on submit.

Your Contact Info
Your Name:
Your Address:
Your Phone Number:
Your E-Mail Address:
Nominee's Info
Name:
Address:
Phone Number:
E-mail Address:
Occupation:

1. How does the person your nominating interpret self-education?


2. For not having obtained a college degree, how did the person your nominating get into the field their currently in?


3.
Does the person your nominating think not obtaining a college degree is detrimental to furthering their career? Please explain.


4.
What steps did the person your nominating take to achieve the goals they set for themselves?



5. What kept the person your nominating motivated and determined?


6. Would the person your nominating endorse self-education to students in their last year of graduating high school? Why or why not.


7. What life lesson does the person your nominating model their life by?


8. Who does the person your nominating consider their mentor and why?

9. What books have influenced the person you are nominating and why?

10. In what ways has the person your nominating applied their self-educated knowledge for the betterment of our society?

11. Who does the person your nominating find to be the most influential individual of our time and why?

12. What would the person your nominating like their legacy to be?