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2022 Annual Report
Nomination
Nomination Form
Please complete the form below. We will contact your nominee with application information and next steps. Thank you!
Your Name
*
First
Last
Your Email
*
Nominee's Name
*
Mr.
Mrs.
Miss
Ms.
Dr.
Prof.
Rev.
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First
Last
Please check all that apply:
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I am an alumni
I am a donor
I am an engaged community member
Other
Specify other from the previous question:
Nominee's Email
*
Briefly explain why this person is a good candidate for the Wild Gift
*