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18 October 2005

Outstanding HPER Alumni Form

 

I nominate the following professional to be recognized as the Outstanding Health, Physical Education, and Recreation Alumni 2005-2006.

 

Name of Nominee:

_______________________________________________________

 

Title or Position:                          Place of Work or Retired:

________________________      ___________________________

 

Please list significant contributions made to the profession:

_____________________________________________________________________________________________________________________________________________________________________

_______________________________________________________

(You may attach information)

 

Mailing Address of Nominee:    

 

Street:__________________________City: ___________St___ Zip:______ Email ______________________ Phone: (w)___________(h)____________

 

My Name and Address

_______________________________________________________

Street:__________________________City: ___________St___ Zip:______ Email ______________________ Phone: (w)___________(h)____________

 

Please fax this form to Donna Hey, Chair of HPER Outstanding Alumni Committee @ (256) 782-5546, or mail to: Jacksonville State University, HPER Department, 700 Pelham Road North, Jacksonville, AL 36205-1602, or email to dhey@jsu.edu. Forms should be postmarked by 12/31/05.

 

 

 



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