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Salem State College
352 Lafayette Street
Salem, MA 01970
978-542-6000
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Alumni Affairs
Distinguished Alumnus/A Award 2008 Nomination Form

The distinguished Alumnus/a Award recognizes "an individual, who, upon graduation from Salem State College, has distinguished himself or herself and his or her alma mater."

Please provide as much biographical information as possible to help the screening committee with their decision. Return your completed nomination on or before March 1, 2008.

Nominee's Name
Class Year
Street Address
City
State
Zip Code
Telephone
Alumni Faculty
Administration Staff
Reasons for Nomination(s): (Remember to include detailed information about the individual nominee. Competition is intense; the more information the selection committee has to consider the better the opportunities for recognition. Please mail any supportive relevant material to this nomination.)
Reasons
Name of Person Making Nomination
Address
Telephone
Nominator is Alumni Nominator is Faculty
Nominator is Administration Nominator is Staff
 

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