Education Alumni Nomination

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Jacksonville State University

College of Education and Professional Studies

700 Pelham Rd N., Jacksonville, AL 36265

Phone: (256) 782-5574

jsu.edu/education

amroberts@jsu.edu

JSU College of Education and Professional Studies Alumni Hall of Fame Nomination

I would like to nominate:

Self Nomination

First Name:

Last Name:

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Street Address:

City:

State:

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Home Phone:

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Nominator Information:

First Name:

Last Name:

Street Address:

City:

State:

ZIP:

Home Phone:

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Please provide a brief summary indicating the nominee’s personal and professional qualities and accomplishments that position him or her to be considered as one of our College of Education and Professional Studies Alumni Hall of Fame inductees. Identify specific areas within the profession in which the nominee excels in aptitude, service, and commitment. Each department in the College of Education and Professional Studies reserves the right to request additional information related to the nominee’s merit (e.g., documented achievements, letters of support, etc.).

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