Nominate Someone for an Award

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About You

Name:
Email:
 

About Your Nominee

First Name:
Last Name:
Class of:
Award Type:
 
I. VOCATION AND EDUCATION
a. Positions held since leaving Valley City State University:
 
b. Present Position:
 
c. Specific Achievements (Advanced Degrees, Professional Contributions):
 
d. Recognition Received (Honors, Awards, Etc.):
 
e. Personal Comment:
 
II. COMMUNITY INVOLVEMENT: (Local, State, National)
a. Participation and Service:
 
b. Offices Held (Leadership Positions):
 
b. Recognition Received:
 
III. ADDITIONAL ACTIVITIES OR EVIDENCE SUPPORTING THIS CANDIDATE:

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