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Christianos Distinguished Alumni
Christianos Distinguished Alumni
This form requires Javascript to be enabled for submission and authorization.
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Required
Name of the person submitting the nomination:
*
required
First Name
Last Name
Phone number of the person submitting the nomination:
*
required
Email address of the person submitting the nomination:
*
required
Name of the nominee
*
required
First Name
Maiden (optional)
Last Name
Nominee's phone number:
*
required
Nominee's email address:
*
required
Nominee's graduation year:
*
required
College/university or military service attended:
Special honors or awards:
Name of the church the nominee attends:
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required
Areas of church involvement:
Please provide a description of how the nominee is exemplifying his/her Christian faith:
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required
Nominee's current occupation:
*
required
Nominee's current employer:
Describe how the nominee has made an impact on his/her profession:
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required
Provide the name(s) of the organization(s) where the nominee volunteers:
Describe how the nominee serves his/her community:
Describe how the nominee's life exemplifies the ministry of Christ:
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required
Why do you think this person should receive the LCA Distinguished Alumni Award?
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required
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