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Alpha Gamma Rho - Epsilon
North Dakota State University
Fargo, ND
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Epsilon Alumnus of the Year Submission
Epsilon Alumnus of the Year
Name of Nominee
Prefix
First
Middle
Last
Maiden
Suffix
Date Initiated
MM
DD
YYYY
Degree(s) Received
Other Colleges or Universities Attended, Dates, and Degrees Recieved
Collegiate Participation & Achievements Outside of AGR
Collegiate Participation - Chapter Level
Alumni Participation - Chapter Level
Honors/Special Recognition (Recieved in AGR)
Present Position
Career Since Graduation
Outstanding Career Achievements
Honors/Special Recognition Recieved (Through Career)
Community Participation / Achievements
Honors/Special Recognition Received (Through The Community)
Service to Country, Man Kind (Military, Peace Corps, Etc.)
Family
Summary Supporting Nomination
Name of Nominator
Prefix
First
Middle
Last
Maiden
Suffix
Phone Number of Nominator
Country
(###)
###
####
x
Extension
Subission Date
MM
DD
YYYY
Submit