The University of St. Thomas

Distinguished Alumnus/Alumna Award

St. Thomas Day Award Nomination:  Distinguished Alumna/Alumnus

Nominations due by: December 1, 2006.

Use this form to nominate a fellow alumna/alumnus to receive a St. Thomas Day Award. You may submit more than one person, but you can only submit one person at a time.

Bold fields indicate required information.

Nominee Information
Full Name of Nominee:
Class Year:
Street Address:
City
State
Zip
Daytime Phone:
(xxx xxx-xxxx)
Evening Phone:
Occupation and Position:
Past participation in Alumni Association activities and programs:

Professional, volunteer and civic involvement:

Describe activities and qualifications related to the award criteria.
Nominator Information:
We need the following information to verify the nomination
Nominated by (full name):
Class Year:
Street Address:
City
State
Zip
Daytime Phone:
(xxx xxx-xxxx)
Evening Phone:

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