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CWU Retirement Association

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Catherine Scarlett
Liaison to the CWU Retirement Association
509-963-3083
scarletc@cwu.edu

CWURA Distinguished Retiree Award

CWURA Distinguished Retiree Award Nomination Form


Nominee Information

Nominee Name:__________________________________________________________

Retired from CWU Department Office:____________________________  Year:______

Nominee’s Mailing Address:_______________________________________________

City:_______________________  State/Province:______  ZIP/Postal Code:__________

Phone Number:__________________ Email Address (if known):__________________


Your Information

Your Name:_____________________________________________________________

Mailing Address:_________________________________________________________

City:______________________  State/Province:_______  ZIP/Postal Code:__________

Phone Number:_________________  Email Address:____________________________


Please attach your letter describing the nominee’s qualifications to this form, along with any substantiating information or references. If additional letters of support are expected, check here:_________.  All nominations will remain active for three years.

Send all of the above to: Catherine Scarlett, University Relations, CWU Foundation Office, 400 East University Way, Ellensburg, WA 98926-7057

For questions please contact Catherine Scarlett at 509-963-3083 or scarletc@CWU.edu

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