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* 1. Your first AND last name:

* 2. Your class year:

* 3. Your email address:

* 4. Name of nominee:

5. Nominee's class year and major (if available):

6. Nominee's business name (if available):

* 7. Home and/or business phone for nominee:

8. Nominee's email address (if available):

9. Which award will you be nominating the alumna/us for?:

* 10. Professional, civic, or community service achievements of the nominee that you can share with us?

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