Nominee Name : Degree: Nominee Class Year: Address of Nominee: Address2: City: State / Province: Alaska Alabama Arkansas Arizona California Colorado Connecticut Washington D.C. Delaware Florida Georgia Hawaii Iowa Idaho Illinois Indiana Kansas Kentucky Louisiana Massachusetts Maryland Maine Michigan Minnesota Missouri Mississippi Montana North Carolina North Dakota Nebraska New Hampshire New Jersey New Mexico Nevada New York Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington Wisconsin West Virginia Wyoming ------------------------ Alberta British Columbia Manitoba New Brunswick Newfoundland Northwest Territories Nova Scotia Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon Zip / Postal Code: Nominee for: Select OneRay Moy Award8th Annual Distinguished Architecture Alumni AwardEd Donley Lawrence Tech Alumni Association Distinguished Graduate Award Reason for selecting Nominee: Alumni Association: ActiveInactive Chapter Affiliation: Alumni Participation: Employment: Professional Associations: Community Involvement: * Submitters Name: * Submitters Degree: * Class: * Address1: Address2: * Telephone: