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2017 Nomination Form JACKSON RIGNEY INTERNATIONAL SERVICE AWARD NOMINATOR INFORMATION Your Name Title E-mail Phone NOMINEE INFORMATION Name of Nominee College or Department Years Employed by NC State DIRECT SUPERVISOR APPROVAL Please have the nominee s direct supervisor sign this form to approve the nomination package. Supervisor Name Supervisor Signature INSTRUCTIONS Send this nomination form along with a nomination letter and nominee s CV to internationalaffairs ncsu.
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