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Alumni Nomination

* Indicates a Required Field

To make a nomination, please complete the information below:

Your Name:*
Your Graduation Year:*
Your Street Address:*
Your City, State, Zip Code:*
Your Phone Number:*
Your Email Address:*
Nominee's Name:*
Nominee's Graduation Year:*
Nominee's Street Address:*
Nominee's City, State, Zip Code:*
Nominee's Phone Number:*
Nominee's Email:
Relationship to Nominee:*
Reason for Nomination:*

Award:*



AWARDS:

Contributing Alumnus/ Alumna Award

·         Awarded to graduate who has shown long term support of the alumni association through time, effort and generosity
 

Outstanding Alumnus/Alumna Award

·         Significant contribution to the health sciences industry either in practice, administration or education as demonstrated by clinical expertise, publication or research

·         Advance in education either by certification or formal education

·         Service to the community at large


Distinguished Modern Alumnus/Alumna Award

·         Awarded to a graduate who has graduated from Aultman College within the last five years and has shown significant achievements in nursing or radiography.



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