Niles Education Foundation

Exemplary Viking Application

Please note: Unless otherwise stated all fields on the Exemplary Viking Nomination Form are required.

    Nominee's Information

    I nominate the following Exemplary Viking as this year’s Legendary Evening Honoree.

    Name of Nominee

    Nominee Address

    City
    State
    Zip


    Profession or area of volunteer work
    Year of Graduation


    Does this person know you are nominating them?
    YesNo

    Please type a narrative including specifics on why you feel your candidate has “made a difference”. This may be related to his/her profession, volunteer work, service to our country or other countries.

    Nominator's Contact Information

    Nomination Submitted By

    Address of Nominator

    City
    State
    Zip

    Phone Number
    E-mail