Distinguished and Rising Star Alumni Submission Form

LSU Biological and Agricultural Engineering Department

Submission Form for Distinguished Alumni Consideration

Please include the following information (not required to be on this particular form):

Name:

Degree(s) and Date(s):

Contact Information:

Address:

Email:

Phone:

Category for Consideration: Distinguished (over 40) or Rising Star (40 or younger)

Vita information submitted for consideration (may include work history, noteworthy achievements, etc.).

8/29/2011 9:32:31 PM
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