Celebrate Successful Women 2013 Nomination Form
Celebrate Successful Women 2013 Nomination Form
Celebrate Successful Women 2013 Nomination Form
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CELEBRATE SUCCESSFUL WOMEN<br />
<strong>2013</strong> <strong>Women</strong> of Achievement Award<br />
NOMINATION FORM<br />
Your Name: _________________________________________ Organization: ___________________________<br />
Your Position: _____________________________________ Your Email: ___________________________<br />
I would like to nominate an outstanding employee from our organization for the <strong>2013</strong> <strong>Women</strong> of<br />
Achievement Award in conjunction with the Patricia Adams Lecture Series at Heidelberg University.<br />
Nominee’s Name: _______________________________________________________________________<br />
Position: ___________________________________________________<br />
Please describe why you are nominating this person for the <strong>2013</strong> <strong>Women</strong> of Achievement Award:<br />
_______ Number of individuals attending the <strong>Celebrate</strong> <strong>Successful</strong> <strong>Women</strong> breakfast on Friday, April 12, <strong>2013</strong>.<br />
Please return this form via fax, email, or mail by Friday, March 9 to:<br />
James A. Troha, Ph.D.<br />
Vice President for Institutional Advancement and University Relations<br />
Heidelberg University<br />
310 E. Market St.<br />
Tiffin, OH 44883<br />
419.448.2383 office<br />
419.448.2057 fax<br />
jtroha@heidelberg.edu
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