Nomination Form: Eberly College Alumni Recognition Award



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Example: MM/DD/YYYY
 


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Information on the person that you are nominating


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Example: (555) 555-5555
 


Example: dmolsen@hotmail.com
 

Example: BS Biology 1980
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Please provide a detailed reason (one or two pages) why you believe this person should be recognized as an individual whose life reflects the commitment and excitement which broadly educated Arts and Sciences people bring to their life pursuits. Relevant supporting material will be welcome.

The Eberly College will not contact the nominee for further information. Thus, the information you provide in your statement will be what is reviewed in selecting recipients. Please be as complete and focused as possible, and please review the attached award description carefully.


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Files must be less than 10MB and file names
less than 30 characters.