NOMINATION FORM

Please use this form to make your nomination for the Distinguished Alumni Award acknowledging a Saint Rose alumna/us for demonstrating the excellence of The College of Saint Rose education through outstanding accomplishments or significant contribution to society. Distinction must lie in one of the following areas: professional, academic, cultural, service or creative expression. Selection for the award is based on the quality of achievement, the scope of its impact and the extent to which it exceeds the nominee's customary professional responsibilities.

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* 1. Nominee for the Distinguished Alumni Award and his/her Graduation Year

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* 2. Based on the requirements above, please provide a brief, but specific description of your nominee’s performance and experience. (It is not necessary to include details normally found in a curriculum vitae.)

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* 3. Description Continued

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* 4. Description Continued

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* 5. Your Name & Title

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* 6. Your Graduation Year

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* 7. Address (city, state, zip)

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* 8. Phone Number

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* 9. Email Address

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