LLLI ALUMNAE ASSOCIATION
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NOMINATION FOR THE LLLI ALUMNAE AWARD
DEADLINE: April 2, 2007


The LLLI Alumnae Award is given to past or present LLL Leaders who have gone on to demonstrate excellence in their professional, personal, or volunteer accomplishments, and who are recognized as leaders in their field.
Name of Nominee:

Nominee Address
(if known):
City:
State/Prov:
Country:
 Zip: Phone:
Nominee E-mail
(if known):
Is the Nominee planning to be at the 2007 LLLI Conference?:

Describe Nominee's professional, personal, or volunteer accomplishments:

Explain why the Nominee is a leader in her field or endeavor:

Is Nominee a:
Current LLL Leader Retired LLL Leader
Your Name:
Address:
State:
Country:
Zip Code:
E-mail:
Please check if you are:
a Retired Leader a Retired LLL Member
an Active Leader a Current LLL Member
an Alumnae Member
Other:
 
Thank you.
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