Qualifications:

1. The nominee must be an alumnus of Concordia College.
2. The nominee must have an active interest in Concordia and be willing to promote and support alumni activities.

Name of Nominee:

First Name:     Last Name:    

Class Year: 

Street Address: 

City:    State:    Zip: 

Person nominating: 

First Name:    Last Name: 

Street Address:   

City:    State:    Zip: 

Email address: 

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