Bette A. Mammone '78 Memorial Academy

Nomination

The Bette A. Mammone ’78 Memorial Academy honors exceptionally successful alumni in business, leadership, community, educational and/or philanthropic endeavors. Alumni will be selected based on their professional expertise and achievements, as well as dedication to charitable and community initiatives.

Please complete this form to nominate or self-nominate.

Email Address *

First Name *

Last Name *

Maiden Name

Your Class Year *

Your Phone Number *

Your Relationship to Nominee *

Information about the alumna/alumnus you are nominating

Name *

Class Year *

Organization/Company Name *

Job Title *

Please tell us about your nominee or yourself if this is a self nomination (impact/success). *

Please list 2-3 achievements that support your description above. What makes them stand out? *

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Bette A. Mammone '78 Memorial Academy

Nomination