Tulsa-NEO Section
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Certificate of Merit Nomination Form
Deadline to submit nomination is
April 20
Email any questions to
tulsa.swe.scholarship@gmail.com
*
Indicates required field
Student(s) Name (as it is to appear on certificate. You may select one student for every 100 students in your Junior Class)
*
Student(s) Email Address
*
Be sure to provide email address of ALL nominated students
School Name
*
Would you like SWE representative to attend the school Award Ceremony?
*
Yes
No
If answer "Yes" to question above, please provide date and time of Award Ceremony
*
School Mailing Address
*
Line 1
Line 2
City
State
Zip Code
Country
Faculty Contact Name
*
First
Last
Faculty Contact Department
*
Faculty Contact Phone Number
*
Faculty Email Address
*
Email any questions to
tulsa.swe.scholarship@gmail.com
Submit
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