Distinguished Alumni Nominations

Nominee

Nominee Name *

Class of *

Biographical Sketch *

Include education, principal employment, community service, and other significant information

Narrative Summary *

Nominee's Address *

Address Line 1

Address Line 2

City

State / Province / Region

Zip / Postal Code

Country

Years at Manheim Township *

Nominee's Phone Number *

Occupation *

Include position and title. If retired, add "Retired."

Supporting Files

You may include up to three files

File Upload

Drop your file here or click here to upload You can upload up to 1 files.

Nominated By

Your Name *

Your Email *

Your Phone Number *

Your Address

Address Line 1

Address Line 2

City

State / Province / Region

Zip / Postal Code

Country

Message

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Distinguished Alumni Nominations