Fordham Army ROTC Hall of Fame Nomination Form
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Fordham Army ROTC Hall of Fame Nomination Form
1.
Full Name of Nominee
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2.
Date of Birth
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mm/dd/yyyy
3.
Hometown
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4.
College/University
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5.
Date of Graduation
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6.
Service and Rank
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7.
Commissioning Branch
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8.
Current Position or Last Significant Post
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9.
Please provide a complete description of rational and reasoning (with all important achievements / accomplishments).
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10.
Please fill in all subsequent and significant assignments and accomplishment
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Dates
Rank/Position
Organization
Post
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11.
Education Degrees (Dates, Schools, and honors)
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Degree
Date of Completion
School or University
Any Honor Received
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12.
Military Education (Dates, Schools and Honors)
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School Completed
Date of Completion
Post
Any Honor Received
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13.
Awards and Honors (Any Awards or Honors not Mentioned Yet)
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Award
Date Received
Reason for Award
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Finally Please Provide the Following Information so that we may Contact the Nominee and yourself for any further information needed
Nominee Info
14.
Mailing address
*
15.
Primary Telephone
*
16.
Nominee Primary Email
*
Nominator Info
17.
Nominator's Name
*
18.
Mailing Address
*
19.
Primary Phone
*
20.
Nominator Primary Email
*
