Salem State College: Distinguished Alumnus/A Award 2003 Nomination Form

Salem State College
352 Lafayette Street
Salem, MA 01970
978-542-6000

SSC Homepage > Alumni Affairs

Printable Page

Alumni Affairs

The Elizabeth Williams Wade Award 2008 Nomination Form

The elizabeth Williams Wade Award is presented to "an Individual who has made outstanding contributions to Salem State College through his or her activities with the Alumni Association."

Please provide as much biographical information as possible to help the screening committee with their decision. Return the 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