Fischler School of Education and Human Services

Alumni Nomination

The Fischler School of Education and Human Services' Alumni Associations is collecting nominations for its first annual Alumni Magazine. The theme is "Celebrating 30 Years of Excellence in Distance Education". We will be profiling outstanding alumni who have graduated in each of the last 30 years. If you would like to submit a nomination for one of your classmates, colleagues, or yourself, please fill out the form below. All fields in RED are required.

Your contact information:
Salutation:	Mr. Miss Mrs. Dr.
First Name:
Maiden Name:
Last name:
Mailing Address:
City/Town:
State/Province:
Postal Code:
Home Phone:
Work Phone:
E-Mail Address:
Program of Study:
Graduation Year:
Employer:
Position:

Nominee's contact information:
Salutation:	Mr. Miss Mrs. Dr.
First Name:
Maiden Name:
Last name:
Mailing Address:
City/Town:
State/Province:
Postal Code:
Home Phone:
Work Phone:
E-Mail Address:
Program of Study:
Graduation Year:
Employer:
Position:
Please provide us with a brief description of the nominee's accomplishments (250 words or less):
We welcome any comments or suggestions for future issues:

Thank you for taking the time to nominate a fellow alumnus and for your feedback!



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Alumni Nomination

Your contact information:

Nominee's contact information:

Thank you for taking the time to nominate a fellow alumnus and for your feedback!