Distinguished Service Award
Tufts University Alumni Association
Nomination Form

Nominations are due by November 16, 2007. Please print and mail to: Attn: Jessica Johnson Sherwood, Tufts Office of Alumni Relations, 80 George Street, Suite 100-3, Medford, MA 02155 or fax to Jessica at 617-627-3938. For more information please contact Jessica at 617-627-5786 or j.johnson@tufts.edu.

I am pleased to nominate:

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to receive the Tufts University Alumni Association Award for Distinguished Service to:

____ the University ____ his/her profession ____ his/her community

School and year of nominee: _____________________________________________________

Nominee's home address and telephone number:

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Occupation and title: ___________________________________________________________

Company's name: ______________________________________________________________

Business address and telephone number:

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Community involvement: ________________________________________________________

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Why is this person worthy of a Distinguished Service Award? (Please feel free to attach additional pages; a C.V. is very helpful to the Awards Committee):

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Your name, address, telephone number and email address:

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Your relationship to nominee: ___________________________________________________

Tufts Alumni website

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