2019
Legacy Award Nomination Form

2019 Award Year

Question Title

* 1. Nominee Information

Last Name

First Name

Address

City

State

Zip Code

Phone Number

Email Address

Class Year

College

Major

Degree

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* 2. Describe Nominee's impact on current and future generations of Aggie Women. (200 word max)

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* 3. Describe Nominee's Achievements in Career and/or Community. (150 word max)

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* 4. Honors/Recognition/Awards Received (attach articles or links when possible)

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* 5. Provide any additional details about Nominee relevant to Legacy Award nomination. (100 word max)

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* 6. Is this nomination being made posthumously?

Yes

No

Question Title

* 7. Nominator Information (will be kept confidential from the committee)

Name

Address

City

State

Phone Number

Email Address