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Founder's Week 2021 Vincentian Convocation Nomination Form
Please complete this form
by 4/12/21
to nominate persons or organizations for recognition at the 2021 Vincentian Convocation, thank you.
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1.
Nominator:
(Required.)
Name
Email Address
Phone Number
*
2.
Name of Person/Organization Being Nominated:
(Required.)
*
3.
Nominee:
(Required.)
Address
*
Address 2
City/Town
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State/Province
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AL Alabama
AK Alaska
AS American Samoa
AZ Arizona
AR Arkansas
CA California
CO Colorado
CT Connecticut
DE Delaware
DC District of Columbia
FM Federated States of Micronesia
FL Florida
GA Georgia
GU Guam
HI Hawaii
ID Idaho
IL Illinois
IN Indiana
IA Iowa
KS Kansas
KY Kentucky
LA Louisiana
ME Maine
MH Marshall Islands
MD Maryland
MA Massachusetts
MI Michigan
MN Minnesota
MS Mississippi
MO Missouri
MT Montana
NE Nebraska
NV Nevada
NH New Hampshire
NJ New Jersey
NM New Mexico
NY New York
NC North Carolina
ND North Dakota
MP Northern Mariana Islands
OH Ohio
OK Oklahoma
OR Oregon
PW Palau
PA Pennsylvania
PR Puerto Rico
RI Rhode Island
SC South Carolina
SD South Dakota
TN Tennessee
TX Texas
UT Utah
VT Vermont
VI Virgin Islands
VA Virginia
WA Washington
WV West Virginia
WI Wisconsin
WY Wyoming
ZIP/Postal Code
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Email Address
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Phone Number
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4.
Nominee website, if applicable:
*
5.
Nominated for the:
(select one)
(Required.)
Caritas Medal:
given for service of the poor in the NY Metropolitan area.
Frederic Ozanam Award:
given to an organization (church or secular, for-profit, not-for-profit) which demonstrates success and creativity in integrating quality service with effective, efficacious, and respectful concern for the poor or needy.
International Medal:
given for distinguised contributions to international goodwill.
St. Elizabeth Ann Seton Medal:
given to an outstanding Catholic laywoman who has embodied in her life the values and vision of Mother Seton.
St. Vincent de Paul Medal:
given to an outstanding Catholic layman who has embodied in his life the ideals and values of St. Vincent de Paul.
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6.
Rationale for why the nominee should receive the award/general information:
(if necessary, e-mail separate document to vccs@stjohns.edu)
(Required.)
7.
Please describe the nominee’s affiliation with St. John’s University, if applicable:
If you have any questions, please contact the Vincentian Center for Church and Society at vccs@stjohns.edu.