Distinguished Alumni Nomination Form

2024-2025 Distinguished Alumni Award Nomination Form

*required

1) The Selection Committee will best be able to judge your nomination if all the information requested below is provided.

2) Photocopies of newspaper and/or magazine clippings or other documents about the nominee's achievements are helpful to the committee; resumes, testimonials and letters of recommendation are also appropriate. Please limit your enclosures to the most relevant ones and email to alumni@ssdsbergen.org.

*Nominee's Last Name

*Nominee's First Name

Nominee's Maiden Name

*Schechter Bergen Grad Year

*Home Address

*City

*State

*Zip

*Cell

*Email Address

*College

*College Grad Year