Linn State Technical College: Awards Nomination

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Foundation for Linn State Technical College

Awards Nomination Form

Award:
Name
Address
City
State
Zip
Telephone
Email
Year Of LSTC Graduation
LSTC Degree (if applicable)
Employer
Title
Job Status

Nominated by:
Name
Phone Number
Email
May we publish your name?

Using the categories described on the previous page please describe in the space below why you believe this person qualifies for the award.

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