Carlow University - Alumnae/i Association Awards

	ALUMNAE/I ASSOCIATION AWARDS
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Carlow University Alumnae/i Association Award for Distinguished Service & Achievement

When nominating an alum for the Alumnae/i Service & Achievement Award, please provide the following:

Documentation of public or professional recognition the nominee has gained in her/his field of endeavor
Professional endorsement of the candidate: contact information for someone who knows of the nominee’s involvement in the area of the award for which she/he is being nominated

CANDIDATE information

I hereby nominate:

First Name			Middle
Maiden Name			Last Name
Class Year
as a person who exemplifies the values of Carlow's Mission Statement, as a candidate for the Alumnae/i Association Award for Distinguished Service and Achievement in the category checked below (please check only one):

Service through Business or Non-Profit			Service through Family Life
Service through Health Care			Service through Education
Service through Arts			Service through Church/Civic Life
Service through Carlow Community

The contribution(s) for which the above-named should be recognized:


Candidate Home Address
Street
City		State	Zip
Home Phone
Candidate Business Address
Employer
Street
Street 2
City		State	Zip
Business Title
Business Phone

PROFESSIONAL ENDORSEMENT of Candidate
First Name			Middle
Maiden Name			Last Name
Title
Street
City		State	Zip
Phone
Relationship to Candidate

NOMINATOR'S information
First Name			Middle
Maiden Name			Last Name
Class Year
Street
City	State		Zip
Home Phone
Business Phone
Email

Carlow University is accredited by the Middle States Commission on Higher Education, 3624 Market Street, Philadelphia, PA 19104. (267-284-5000)
The Middle States Commission on Higher Education is an institutional accrediting agency recognized by the
US. Secretary of Education and the Council for Higher Education Accreditation.