California
Maritime Academy
A Campus of the California State
University
Alumni Association
Distinguished
Alumni Award Nomination
The Distinguished Alumni Awards is established to
recognize and honor graduates of the California Maritime Academy, who, during
their chosen career after graduation have distinguished themselves and brought
credit to the Academy through their outstanding personal or career
accomplishments.
(Please print or download a copy)
Name
of Nominee _________________________________ Year of Graduation _______
Address_________________________________________________________________
City ___________________________________
State ____________ Zip
____________
Home
Telephone ____________ E-mail Address ________________________________
Work
Telephone _____________________ Fax ____________________
Briefly
describe how the nominee has distinguished her/himself since graduation.
Be
as detailed as possible. ________________________________________________________________________
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Nomination
Submitted By:
Name
___________________________________________________
Year
of Graduation if applicable _______
Address_________________________________________________________________
City ___________________________________
State ____________ Zip
____________
Home
Telephone _____________ E-mail Address _______________________________
Work
Telephone _____________________ Fax ____________________
Relationship
to Nominee __________________________________________
Signature _________________________________________ Date
____________