LC/LCU Distinguished Alumni Nomination Award

Name of Nominee(Required)

First Last

Phone(Required)

Email Address(Required)

Address

Street Address City State / Province / Region ZIP / Postal Code

Is Nominee an LC/LCU alum?(Required)

Year of Graduation

Degree Earned

Career Information

Civic, Social, and Religious Involvement

Awards, Recognitions, and Publications

Additional Degrees or Education

Family Data

Person Making Nomination

Name(Required)

First Last

Phone(Required)

Connection to LC/LCU?

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