Alumni Achievement Award Nomination Form : Alumni Awards : Alumni : Clark Honors College

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Home > Alumni > Alumni Awards > Alumni Achievement Award Nomination Form

Alumni Achievement Award Nomination Form


Nominee Information
Name:
Class Year:
Mailing Address:
Telephone:
Email:
Employer/Affiliation:	(to allow us to inform them of the recognition)
Contact Person:
Address:
Telephone:
Email:

Award Recommendation
Please comment below on why you have nominated this person. For example: How has this individual contributed to his/her industry, society, or the betterment of the human condition? How does this person demonstrate the ability to master creative application of multiple disciplines that characterizes Honors College graduates?

Your Information Please list your contact information below in case additional information is required. Please include copies of any articles, letters of support, or other materials you feel may help in the selection process. Feel free to add additional commentary on separate sheets.
Name:
Class Year:
Mailing Address:
Telephone:
Email:

For more information, contact Therese Picado, (541) 346-2442, .

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