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GOLD Award Nomination Form

The Graduate of the Last Decade (GOLD) alumni award is for any graduate of the last decade who has demonstrated outstanding achievements and accomplishments. The award is based upon professional and educational achievements, community activities, honors and awards received and other noteworthy items of merit since graduating within ten years of June 1 of the year of recognition.

Based upon the above criteria, I would like to nominate the following individual for the MWSU GOLD Alumni Award:

Nominee's Name:
Address:
Class Year:
Occupation, Position and/or Employer:
 
Briefly describe those achievements, contributions and activities made by the nominee that you think qualify him/her for the award:
  1. What significant and/or extraordinary accomplishments has the nominee made since graduation from Missouri Western State University?
  1. What specific contributions has the nominee made in the area of:

    A. His/her career – Record of service or employment (indicate years, location, and specific assignments).

B. Service and/or volunteer efforts – Membership in organizations (professional, civic, etc., please indicate offices held).

C. In what ways has the nominee brought honor to himself/herself and to MWSU? Please include any special honors, awards, and achievements.
 
Nomination Submitted by:
Name:
Class Year (if applicable):
Address:
Phone Number:
E-mail:
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