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Graduates of Distinction Nomination Form

Susquehanna Valley CSD's "Graduates of Distinction" program celebrates and honors the outstanding achievements of Saber alumni who have made significant contributions in their professions, communities, and/or through public service!

To nominate an alumnus for the "Graduates of Distinction" recognition, please complete the form below. For questions or more information, please email [email protected]

Name of Nominee

Nominee's Address

Nominee's Email

Nominee's Phone Number

Year of Nominee's Graduation from Susquehanna Valley

NOMINATION RATIONALE: (You must answer Question 1 and then must provide answers to any four (4) of the remaining questions completely and accurately.)

1) Please tell us why you believe this nominee should be honored as a Graduate of Distinction?

2) What are the major achievements of the nominee since graduation?

3) What contributions has this nominee make to his or her profession or career?

4) What contributions or service has this nominee made to his or her community or to society?

5) What honors or awards has this nominee received?

6) How is this nominee an exemplary citizen?

7) How has this nominee distinguished themselves in their professional or civic life?

8) What exceptional career achievements or accomplishments has this nominee attained?

9) How does this nominee exemplify himself or herself as a Saber through the District's core values?

REFERENCES: Please provide three (3) references - three individuals who would be willing to support this nomination...

Please list the name, email address and phone number of Reference #1:

Name, email address and phone number of Reference #2:

Name, email address and phone number of Reference #3:

Your Address

Your Phone Number

Your Name:

Your Email:

To validate your submission, please type the answer to the question.