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Distinguished Alumni Nomination

"*" indicates required fields

URL

This field is for validation purposes and should be left unchanged.

Type of Award*

Professional Achievements Award (Outstanding career accomplishments)

Amicus Award – Latin for friend (Recognizing contributions to �鶹ԭ��)

Campus Contributions Award (Retired and former Staff, Faculty, Administrator)

Humanitarian Award (Public Service, Christian Service, Volunteerism)

Young Alumni Award (Notable graduates from the last 15 years)

Selection committee may move nomination of better suited for another category

Nominee's Name*

First Maiden Name Last Class Year

Street Address

City, State, Zip

Why do you think this individual should receive a Distinguished Alumni Award?

Community Involvement (boards, committees, non profits, parish involvements)

Current/Past Employment

Recognitions and Awards

Other relevant information you'd like to share.

Name of Nominator*

Nominator Class Year

Nominator Email*

Nominator Phone*

Does the nominee know you have submitted him/her for an award?

Does the nominee know you have submitted him/her for an award?

Yes

No

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I am willing to support the National Alumni Board with an annual gift

Yes

Not at this time

I am willing to serve a four year term

Yes

Not at this time

List employment history and job experience*

Areas of expertise or skills you could share with the board*

List volunteer experience*

How would you like to make a difference on the board?

Work/Community Involvement

Employer*

Job Title*

Position Responsibilities

Please list any past work experience that you believe has prepared you well for this board member position*

Professional and Business Activities*

Community and Civic Involvement*

What you bring to the Board

List skills, experiences, or abilities you think will make the greatest impact on your service to �鶹ԭ�� and the Young Alumni Advisory Board

What are your expectations of serving on the Young Alumni Advisory board

Please list activities, organizations, clubs, and service projects you were involved with while at �鶹ԭ��

Your Commitment

I am willing to serve a three (3) year term on the Young Alumni Advisory Board.*

Yes

I am willing to participate in the majority of the monthly board meetings. If not able to attend, I will give feedback on agenda items when possible.*

Yes

I am willing to support the �鶹ԭ�� Fund with an annual gift.I am willing to serve a three (3) year term on the Young Alumni Advisory Board.*

Yes

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�鶹ԭ��, a Catholic liberal arts college, creates a community of active learners, reflective thinkers, ethical decision-makers, and responsible contributors in diverse professional, social, and religious roles.

�鶹ԭ��

1450 Alta Vista Street
Dubuque, IA 52001

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