Service Award Nomination — MAA Iowa Section

Nomination for Certificate for Meritorious Service

This form will send your nomination to the Section Secretary, who will forward the information to the current award committee (or the next one to be formed). Please note that the Certificate for Meritorious Service is only awarded every five years.

Nominee Information

Nominee's Name

First Name

Last Name

College or University Affiliation

College or University Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Nominee's Email Address

Nomination Statement

In the space below, please briefly describe the nominee's service to the MAA and the Iowa Section.

Nominator information

Nominator Name

First Name

Last Name

Nominator Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Nominator Email

Nominator Phone

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