Aerial view of campus with Williamsport, the Susquehanna River and Bald Eagle Mountain as a backdrop

Lycoming Alumni Awards Nomination Form

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All alumni are encouraged to nominate other alumni or friends of the College for the Lycoming College Alumni Association Awards.

Please provide us with all of your contact information and as much contact information on the nominee as possible, should we have any questions.

For descriptions and criteria for the awards, and a list of recipients from previous years, please visit the Lycoming Alumni Awards Page.

Your Contact Information

First Name

Last Name

Maiden Name

Class Year

Address

Country

Address

City

State

Zip

Contact Information

Phone

Cell Phone

Email

Nominee's Contact Information

First Name

Last Name

Maiden Name

Class Year

Address

Country

Address

City

State

Zip

Contact Information

Phone

Cell Phone

Email

Award

What award would you like to nominate this person for?

Please tell us why you feel this person is a good candidate for this award. Please provide specific information if possible

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