Catholic Newman Community at the University of Rochester

Name:

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First Name

Last Name

Address:

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Email:

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Mobile Phone:

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Organization/Parish:

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UR Graduation Year:

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Nominator

Name:

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First Name

Last Name

Address:

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Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Country

Email:

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Verify Email

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Mobile Phone:

###-###-####

Organization/Parish:

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Relationship to Nominee:

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The above information is accurate to the best of my knowledge?

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Nominator's First and Last Name, Date

Recommendation

Please attach a one page recommendation (300-500 words) of the nominee to this form. Be sure to:

Describe how this person demonstrated a Christian attitude by word and example throughout his or her academic career;
Describe how this person positively affected you during your time together at the University of Rochester;
Describe how this person continues to exemplify their Catholic faith throughout their lives in their parish, community and career.

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Additional Files

Additional supporting biographical documentation may be included (two pages, double-spaced maximum).

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Chaplains' Medallion Nomination

Nominator