For the Award of: Award for Outstanding Professional Achivement Robert J. Ell Award For Outstanding Service to Alma Mater Award For Service to Society The Leo Award

I nominate: Class of:

City: State: Zip:

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Business:

Title:

Business Address:

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Telephone:

My Name: Class Year:

Address:

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Telephone:

Please describe your nominee and explain why he or she should receive the award.