Service to Alma Mater Award

Nomination Form

Please provide the following information so the selection committee can evaluate your eligibility.

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* 1. Full Name

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* 2. Maiden Name (if applicable)

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* 3. Street Address

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* 4. City

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* 5. State

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* 6. Zip Code

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* 7. Preferred Email Address

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* 8. Home and/or Cell Phone

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* 9. Year(s) of Graduation

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* 10. Place of Employment

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* 11. Job Title

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* 12. Describe your contributions to assisting, advancing and prompting Frostburg State University since your graduation. List any involvement you have had with your alma mater as an alumna/alumnus.

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* 13. How long have you been an active alumna/alumnus? Describe the level of consistent involvement you have had with the institution.

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* 14. How have you made an effort to encourage other FSU alumni to take an active role in their alma mater?

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* 15. Why is supporting your alma mater important to you? Describe any philanthropic commitment you have to FSU, financial and otherwise.

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* 16. List any personal or professional special achievements, awards, honors, and/or distinctions you have received.