AROHE Distinguished Leadership Award 2021 Nomination Form

This award recognizes an individual for significant contributions, distinguished leadership and service to AROHE.

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* 1. Nominee information:

Name

Organization and College or University

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Country

Email Address

Phone Number

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* 2. Contact information for person completing this form:

Name

Company

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Country

Email Address

Phone Number

Description of the retirement organization:

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* 3. Founding year of the retirement organization:

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* 4. To which office of the institution does the organization report?

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* 5. Yearly budget:

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* 6. Number of members, if applicable:

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* 7. Organization leadership

All-volunteer

Paid director

Comments:

Nominee Details:

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* 8. Nomination Narrative

Please upload a narrative statement (PDF, 500 words maximum) that addresses the nominees' contributions, distinguished leadership and service to AROHE.

PDF file types only.

Choose File

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* 9. Letter of Support

Please upload a letter of support. One letter is required from the institution of higher education.: an administrator, active staff, or faculty member would be appropriate.

PDF file types only.

Choose File