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ATS Alumni Award Nomination Form

The Alumni Association would like to acknowledge our alumni for their outstanding service to society and/or various ministries. You are cordially invited to nominate outstanding individuals for this award. Please fill out the nomination form below. For more information, please contact us at (845) 358-1710 ext. 110 or atsalumni@nyack.edu.

Nominee Information
Name of Nominee:
Street Address:
City/State/Zip:
Phone Number:
NomEmail:
Graduation Year:
Biography:
Contributions/Achievements:
Reference
Name of Reference:
Relationship:
Street Address:
City/State/Zip:
Phone Number:
NomEmail:
Nominee Information
Name:
Relationship:
Street Address:
City/State/Zip:
Phone Number:
NomEmail:
  You may upload a Word document or small image:
Upload File:

 
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