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Herb '35 and Peggy Iffert Award Nomination Form

Iffert Award - Recognizes an alumnus/alumna, retiree, or other friend of the University who has shown outstanding and continuous commitment to Missouri Western State University’s mission, vision, and legacy. This award recognizes one’s service as a positive liaison between the University and the region of Northwest Missouri as well as consistent dedication to the advancement and preservation of Missouri Western State University.

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

Nominee's Name:
Address:
Class Year (if applicable):
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. How has the nominee served as a positive liaison for Missouri Western State University?
  1. What specific contributions has the nominee made to:

    A. Missouri Western State University

B. The Alumni Association
  1. What other qualities does the nominee(s) posess that qualifies him/her for this award?
 
Nomination Submitted by:
Name:
Class Year (if applicable):
Address:
Phone Number:
E-mail:
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