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 Additional Information

Address:
Office of Alumni Relations
Morgan State University
Alumni House
1700 East Cold Spring Ln
Baltimore, Maryland 21251
telephone: 443.885.3015
fax: 443.885.8200

Official Nomination Form

Please provide the following information about yourself.
NAME:
 E-Mail:
ADDRESS:
HOME PHONE:
YEAR OF GRADUATION:
CHAPTER AFFILIATION:
Please provide the following information about the Nominee.
NAME:
 E-Mail:
ADDRESS:
HOME PHONE:
YEAR OF GRADUATION:
CHAPTER AFFILIATION:
CATEGORY:
Alumnus of the Year

complete questions 1-6 & 18

Honorary Alumnus

complete questions 1-6 & 18

Chapter of the Year

complete questions 1-2 & 10-18

Special Achievement

complete questions 1-6 & 18

Special Contribution

complete questions 1-3 & 7-9

If nominee is not selected for the award checked, please consider for other awards.
In each category below, list supporting documentation to support the rating given.  Please be specific and concrete. READ CATEGORIES CAREFULLY.
1. LIST CONTRIBUTIONS TO MORGAN STATE UNIVERSITY 
2. LIST CONTRIBUTIONS TO THE NATIONAL ALUMNI ASSOCIATION
3. LIST ACHIEVEMENTS IN A PARTICULAR FIELD
4. LIST CONTRIBUTION TO THE ALUMNI CHAPTER 
5. LIST NATIONAL RECOGNITIONS & AWARDS
6. LIST COMMUNITY RECOGNITIONS & AWARDS 
7. MADE A FINANCIAL CONTRIBUTION
8. LIST CONTRIBUTIONS MADE OVER THE PAST 5 YEARS
9. LIST CONTRIBUTIONS MADE OVER THE PAST 10 YEARS
10. LIST SUPPORT OF NATIONAL ALUMNI PROGRAMS
11. SUPPORT OF NATIONAL ALUMNI PROGRAMS
12. SPECIAL PROGRAMS OF THE CHAPTER
13. SCHOLARSHIP AID TO MSU STUDENTS
14. AID TO MSU PROGRAMS AND DEPARTMENTS
15. NUMBER OF NEW MEMBERS SINCE LAST YEAR
16. PERCENTAGE OF LIFE MEMBERS IN CHAPTER
17. SUPPORT OF LAST ALUMNI DAY PROGRAM AND LUNCHEON
18. LIST OTHER NOTE WORTHY ACCOMPLISHMENTS

For further information, contact:tfleming@moac.morgan.edu or schapple@moac.morgan.edu Telephone: 443.885.3015

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