Alumni Award Nomination Form

To nominate a candidate or to self-nominate for an alumni award, please answer the questions below. If you do not know the answer to a question, you may skip it, but more complete applications do provide a better overview of the nominees qualifications for the award. If you have any questions about this form, please contact Heidi Sakanaka at heidi.sakanaka@mville.edu.

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* 1. About you:

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* 2. About the nominee:

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* 3. Give examples of the nominee's career accomplishments that have promoted ethically and socially responsible leadership with his or her constituency (birth to grade 12 or higher education students/faculty).

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* 4. Give examples of the nominee's community accomplishments that reflect the nominee's commitment to promoting ethical and social growth for the population he/she serves.

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* 5. Please include any other information about the nominee that you would like the Awards Committee to know.

The Awards Committee welcomes supporting materials and the CV of the nominee. These, as well as any additions and changes to the nomination form, should be sent to the Assistant Dean for Community Outreach, Heidi Sakanaka, at heidi.sakanaka@mville.edu.

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