Distinguished Alumni Award Nomination Form

The 2023 Distinguished Alumni Award nominations are now OPEN!

Deadline

Friday, April 7, 2023

If you see this don't fill out this input box.

Nominee Information

*Nominee's Name

*Nominee's Address

*City

*State

*Zip Code

*Nominee's Phone

Nominee's Email

*Year(s) attended or year graduated from LWTech

*Other education (include all undergraduate and graduate degrees)

Enter "None" if not applicable

*Profession/Vocation

*Employer

Enter "None" if not applicable

*Awards/Honors/Vocation

Enter "None" if not applicable

*Community Service/LWTech Involvement

Enter "None" if not applicable

*Please tell us in 1000 words or less, why your nominee is deserving of this award. Detailed information about his/her personal and professional accomplishments, service to the community and/or LWTech, and inspirational impact will assist the Committee in choosing an award recipient.

Your Information

*Name (First and Last)

*Phone

*Email

Submit

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