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Young Achiever Award Nomination Form
To nominate a person for the Young Achiever Award, you may use this on-line form, email or mail your nomination (with all information requested on the below form) to:

Ben Schears
VP Institutional Advancement
Cowley College, 125 South 2nd, PO Box 1147, Arkansas City KS 67005

Name of Nominee

Year Graduated
from Cowley
Address of Nominee
Spouse's Name
Please List Occupation, Community Service and Activities of Nominee
More Information:

More Information:

Your Name
Your Address
Your Phone
Your E-Mail

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