Distinguished Alumnae Award Application Form Divine Word University P O Box 483, Madang, Papua New Guinea

Tel: (+675) 422 2937; Fax: (+675) 422 2812; Email: info@dwu.ac.pg

Candidate Information image First Name:* Surname:* Middle Name:* Please select: Province:* City/Town:* Phone Number:* Email:* Year of Attendance:* Year of graduation from Divine Word University:* Nominator's Information First Name:* Phone Number:* Surname:* Province:* City/Town:* Email:* Relationship to Nominee:* Address:* Two Additional letters of Support Two Additional letters of Support (letters should not exceed two pages in length). Letters should give specific examples and details of the candidate’s extraordinary accomplishment in professional, personal, academic or public service achievements. These letters and the content thereof must be held in strict confidence. All copies of these letters, or associated notes, electronic or otherwise, other than those held by the originators of the letters, must be destroyed once the letters have been provided to the Selection Committee. Upload File: Upload File: