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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 [email protected]
Your Name*
Your Address*
Your Phone
Your E-Mail Address
College Affiliation (if applicable)
Tarbabypre
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Tarbaby
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Noturl
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Antlion
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