NORTH DAKOTA RECREATION & PARKS ASSOCIATION by 9U1de6

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									              NORTH DAKOTA RECREATION & PARKS ASSOCIATION

                              HALL OF FAME NOMINATION


Candidate _________________________________ Date of Birth _______________________

Address _____________________________________ City ____________________________

State & Zip Code _____________________________ Telephone Number ________________

Date Submitted _________________________ Sponsor ______________________________

Instructions: Please answer all questions. Use additional blank sheets if required, and number
the answers to the corresponding question number. One black & white photo, bust only, billfold
size, must be supplied with the nomination.

 1.   Years, and what years, a member of the North Dakota Recreation & Parks Association
      (NDRPA)? _______________________________________________________________

 2.   NDRPA offices held, and what years? _________________________________________
      ________________________________________________________________________
      ________________________________________________________________________

 3.   NDRPA achievements that you helped reach? ___________________________________
      ________________________________________________________________________
      ________________________________________________________________________
      ________________________________________________________________________
      ________________________________________________________________________
      ________________________________________________________________________

 4.   Education history (degrees, schools, city/state, years attended)? _____________________
      ________________________________________________________________________
      ________________________________________________________________________

 5.   Employment history (position, organization, city/state, years)? _____________________
      ________________________________________________________________________
      ________________________________________________________________________
      ________________________________________________________________________

 6.   Professional organizations, career-related activities, civic and club activities? __________
      ________________________________________________________________________
      ________________________________________________________________________
      ________________________________________________________________________
      ________________________________________________________________________
      ________________________________________________________________________
      ________________________________________________________________________
 7.   Honors and awards? _______________________________________________________
      ________________________________________________________________________
      ________________________________________________________________________
      ________________________________________________________________________
      ________________________________________________________________________
      ________________________________________________________________________
      ________________________________________________________________________

 8.   Achievements you helped attain within your profession and employment? ____________
      ________________________________________________________________________
      ________________________________________________________________________
      ________________________________________________________________________
      ________________________________________________________________________
      ________________________________________________________________________
      ________________________________________________________________________

 9.   Hobbies? ________________________________________________________________
      ________________________________________________________________________
      ________________________________________________________________________

10.   In a brief statement, give your opinion regarding the importance of providing leisure
      opportunities to our citizens. ________________________________________________
      ________________________________________________________________________
      ________________________________________________________________________
      ________________________________________________________________________

11.   In a brief statement, give your opinion on how you most contributed to improving the
      quality of life for fellow North Dakotans? ______________________________________
      ________________________________________________________________________
      ________________________________________________________________________
      ________________________________________________________________________

12.   Additional remarks - use extra blank sheets if necessary. __________________________
      ________________________________________________________________________
      ________________________________________________________________________
      ________________________________________________________________________
      ________________________________________________________________________
      ________________________________________________________________________

13.   Copies of news clippings, pictures, and other items of pertinence. May be supplied (if
      available) in scrapbook or organized form.

14.   Date ___________________ Signature _______________________________________


Submit to: Wayne Beyer, Wahpeton Parks and Recreation, 304 S. 5th St., Wahpeton, ND 58075

								
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