Alumni Association

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Awards Nomination Form

This form should be used for the following awards:

• The Distinguished Alumni Award
• The Lifetime Achievement Award
• The Professional Achievement Award
• The Outstanding Young Alumni Award
• The James J. Whalen Meritorious Service Award
• The Volunteer Service Award

In order to be considered for the following year, all nominations must be submitted by June 30 of the current year.

Information on the Nominee

Name	(Last, First)
Class Year
Major
Home Address
City, State, Zip
Home Phone
Business Address
City, State, Zip
Business Phone

Which Award/s
The Distinguished Alumni Award
The Lifetime Achievement Award
The Professional Achievement Award
The Outstanding Young Alumni Award
JJW Meritorious Service Award (non-alumni)
Volunteer Service Award


Please consider the above nominee for the following reasons:

(Provide a brief synopsis here.)

Information about You

Your Name	(Last, First)
E-mail Address
Class Year
Major
Home Address
City, State, Zip
Home Phone
Business Address
City, State, Zip
Business Phone

Forms may also be mailed to the following address:

Office of Alumni Relations
Ithaca College
210 Alumni Hall
Ithaca, NY 14850-7041

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