This nomination is for the
following category:
___ Distinguished Career
Award ____ Distinguished Recent Alum/na Award
Name
of Degree(s)
Nominee______________________________________Year(s)
_____________
Home Address ___________________________________________________
City
________________________________
State
____ Zip Code ___________
Hm Phone (____)_______________ E-mail ____________________________
Title/Employer ____________________________________________________
Name of Nominator ________________________________________________
Home Address ___________________________________________________
City
_________________________________
State
___ Zip Code ___________
Hm Phone (____)________________ Wk Phone (____)___________________
E-mail ___________________________________
Please complete this form
and mail it and all supporting documents no later than April 30 to:
Dianna Barrett, C.A.R.L.
OSU
College
of Social Work Alumni Relations
1947 College Road
,
Columbus
,
Ohio
43210
Phone: 614-247-7927;
E-mail: barrett.2@osu.edu
Names of inductees will be released and posted on the web May 31st. Inductees honored in September during the Reunion Weekend at the Alumni Dinner, Friday, September 4, 2009.
Alumni, friends, faculty, staff and students are invited to dinner; to make a reservation, please forward your no later than August 26, 2008
