Do you know Defense Information School graduates who should be nominated for the
Public Affairs Hall of Fame Award?
NOTE DEADLINE:
November 1, 2007 Nominee’s full name: ____________________________________________________________________________________ Date and Place of birth: __________________________________________________________________________________ Home address: _________________________________________________________________________________________ Business Address: ______________________________________________________________________________________
Courses and years
graduated from DINFOS:
_________________________________________________________________ If not a graduate, when assigned to DINFOS: _________________________________________________________________
Degrees with dates of university attendance:
_________________________________________________________________
______________________________________________________________________________________________________ Present occupation: _____________________________________________________________________________________ Former occupations\positions: _____________________________________________________________________________ ______________________________________________________________________________________________________ Memberships in professional business, civic and social organizations: ___________________________________________ ______________________________________________________________________________________________________
Special Note: Letters of recommendation will strengthen the nomination.
Submitted by: ___________________________________________________________________________________ DINFOS courses and dates:________________________________________________________________________ Address: __________________________________________________________________ Phone:_______________
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