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Margaret Bailey Speer Award Nomination

Please Note: This award in not given annually.
Nominee Name: (Include maiden name if applicable)
Class:
Describe important accomplishemnts: Character/Personal Traits Let us know about any personal trait that makes the nominee stand out as an individual and as a member of the Shipley community. Biographical Information Please provide as much of the biographical information as you can on the nominee.
Full Name:
Informal Name:
Current Address:

E-Mail:
Home Telephone Number:
Work Telephone Number:
Spouse's Name:
Children (Names):
Post Shipley Studies: (List schools, colleges, other studies with degrees where appropriate)
Current Occupation/Employer:
Title or Role:
Previous Employers and Dates:
Awards, Honors or Citations:
The candidate nominated above has been submitted by:
Name:
Class:
Address:
Home Telephone Number:
Work Telephone Number:
Affiliation to Shipley (if not an alum):

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