Cross and Flame Nomination Form 2013

The Cross and Flame Award was established in 2000 by the Alumni Association.This award is given to recognize and strenghten the relationship between McMurry Universty and the United Methodist Church by recognizing individuals for service to their local churches and to the university.

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* 1. Nominee contact information

Nominee's first name: *

Nominee's last name: *

Nominee's Address: *

Address 2:

City/Town: *

State:

ZIP:

Nominee's Class year:

Email Address:

Phone Number:

Please specify in detail, based on the criteria below, why the nominee deserves the award.

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* 2. Provide examples of service to the Nominee's church (100 word limit)

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* 3. Provide examples of service to McMurry University. (100 word limit)

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* 4. Your contact information

Your first name: *

Your last name: *

Your Address: *

Address 2:

City/Town: *

State: *

ZIP: *

Your class year:

Email Address: *

Phone Number: *

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* 5. Please indicate that all the information contained in this nomination is factually correct and honestly presented.

Yes