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Office of Alumni Relations The University of Scranton
Scranton, PA 18510-4624
1-800-SCRANTON or
570-941-7660

alumni@scranton.edu
Alumni Loyalty and Service Award Nomination 2014

*Fields marked with asterisk are required

Nominee Information

Name of Nominee:
How long have you known the nominee?
What is your relationship?
How does this student demonstrate the qualities of this award?
Additional Comments:

Your Information

First Name
Last Name
Title:
Department
Primary E-mail
Campus Address:
Campus Phone: