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	G.O.L.D. Alumnus Award Nomination

Nominating Criteria

Person(s) who have distinguished themselves through early excellence in their professions, service to their community and/or service to Carroll University;
Person(s) whose achievements have brought honor to their service organizations and Carroll University;
Person(s) whose recognition by the college would reflect well upon Carroll;
Person(s) who have graduated from Carroll 10 or fewer years prior to nomination;
Alumni, including current employees of Carroll, members of the Board of Trustees and Alumni Council are eligible.

Alumni will remain on file for future consideration until the end of their term of eligibility.

Please complete the following as thoroughly as possible


G.O.L.D. Nomination Form
Name of nominee:
Maiden name:
Address:
City:
State:
ZIP:
Phone:
E-Mail:
Class year:
Major(s) at Carroll:
Profession:
Title:
Statement: Why I believe this person should be considered. Include most important accomplishments, affiliations and honors. Please be specific; give examples.
Career Achievements:
Carroll involvements: (please include both past and present)
Community Service activities:
Noteworthy achievements/honors/recognition:
Education beyond Carroll:
References: (Other sources suggested for contact concerning nominee's accomplishments.)
Name 1:
Phone 1:
Name 2:
Phone 2:
Name 3:
Phone 3:
Person submitting nomination:
Name:
Daytime phone:
E-mail:
How did you become acquainted with the person you are nominating, and how long have you known them?
Date submitted: