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Distinguished Service Award Nomination Form

Please use the form below to make a nomination for the Distinguished Service Award.

* = required field

Nominee's Name:*
Nominee's Home Address:*
Phone:
E-mail address:
Class Year:
Luther Degree/Major:
Other Institutions/Degrees:
Present Occupation/Title:
Professional Positions Held:
Professional Awards and Honors Received:
Professional Memberships:
Community/Volunteer Organization Memberships and Positions Held:
Publications/Research:
List any Other Reasons You Believe Your Nominee is Qualified for this Award.:
Other information such as a nominee's resume or vita, or news articles about their accomplishments may be mailed to:Luther College Office of the President 700 College Drive Decorah, IA 52101 Or e-mailed to johnsonk@luther.edu
Your Name:*
Your Address:*
Your Phone:
Your E-Mail Address:
College Affiliation (if applicable):