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 [email protected]her.edu
Your Name*
Your Address*
Your Phone
Your E-Mail Address
College Affiliation (if applicable)
Tarbabypre
(Please don't fill in this field.)
Tarbaby
(Please don't fill in this field.)
Noturl
(Please don't fill in this field.)
Antlion
(Please don't fill in this field.)