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SDML Hall of Fame Nomination Form

2016

The South Dakota Municipal League Hall of Fame was created to honor those elected and appointed officials and employees who have served municipalities in South Dakota for 20 or more years.

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Applicants, living or deceased, must have completed 20 years of municipal service as of September 30, 2016. Inductees will be recognized at the October 6th luncheon during the Annual Conference in Rapid City and in the November issue of South Dakota Municipalities.

Years of service do not have to be consecutive or with the same municipality. Recognition will be one time per individual.

This recognition will be ongoing, if 20 years of service is completed after September 30, 2016 the official or employee is eligible to be inducted into the 2017 Hall of Fame.

Inductee Information

(Type or print clearly)

____________________________________________________ Name Living Deceased

______________________________________________________ Title Retired: Y/N

________________________________________________________ Municipality

________________________________________________________ Mailing Address

_________________ _____________________________________ Total Years Served Offices/Positions Held

______________________ ________________________________ Phone Email

Will Inductee be attending the recognition luncheon? Yes__ No__

(If not registered for conference, meal tickets can be purchased on site.)

________________________________________________________ Name and Title of Person Making Nomination (if other than inductee)

______________________ ________________________________ Phone Email

If you or someone you know is eligible, please complete and return this form by September 15, 2016 to be recognized at the SDML Annual Conference in October and in the November issue of South Dakota Municipalities.

Please provide a photo and a one paragraph description (100 words max, please email if possible) of the Inductee’s biography or major accomplishments while serving the municipality to be used in the November magazine. Digital photos must be at least 300 dpi.

Return to:SDML, 208 Island Drive, Ft. Pierre, SD 57532 Fax: 605-224-8655 Email: carrie@sdmunicipalleague.org

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