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Chaplains' Medallion Nomination

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First Name
Last Name
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Address Line 1
Address Line 2
City
State/Province
ZIP/Postal Code
Country
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Nominator
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First Name
Last Name
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Address Line 1
Address Line 2
City
State/Province
ZIP/Postal Code
Country
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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).