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Nomination Form


SUNYIT Alumni Awards Program Nomination Form

I nominate the following person for the following award:

Distinguished Service Award Yes No
Honorary Alumnus Award Yes No
Alumni Humanitarian Award Yes No
Outstanding Young Alumni Award Yes No
Outstanding Alumni Award Yes No

Nominee Information

(*) Nominee's Name
Class of
Major
Mailing Address
City
State
Zip Code
Email (home)
Email (work)
Phone (home)
Phone (work)
Employer
Position/Title
Employer Name and Address (include Zip Code)
Recommendation/Nomination
(please include relationship to nominee)

Your Information

(*) Your Name
Class of
Email (home)
Email (work)
Phone (home)
Phone (work)
Mailing Address
City
State
Zip Code