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SIU Carbondale Academic Excellence Latin Honors Medallion Request
Requests for medallions will be sent after confirmation of honor award. Please allow 2-3 weeks for delivery.
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First Name and Last Name:
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Your answer
Dawgtag:
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Your answer
Graduation Date (Month, Year)
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Your answer
I am requesting the following items. (University Events will verify eligibility before sending).
Latin Honors medallion
University Honors Program cord
Scholar Athlete cord (3. 5+ GPA while competing in intercollegiate Athletics)
Military cord (veterans and active service)
Delivery
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I am local and can pick up my medallion on campus at University Events & Protocol, Anthony Hall, Room 15, 1265 Lincoln Drive, Carbondale IL. Please email
events@siu.edu
to set up a time to pick up.
Please send by mail. I understand it may take 2-3 weeks to arrive.
Required
Address 1:
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Your answer
Address 2:
Your answer
City:
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Your answer
State:
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Zip Code:
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Your answer
Daytime Phone Number:
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Your answer
Email:
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Your answer
With this request, I understand I will not receive an additional medallion, cord or other item at a future Academic Excellence ceremony.
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I agree; please mail to the address above. If I attend a future Academic Excellence Recognition Ceremony and/or Commencement, I will be responsible for bringing my medallion.
I disagree; please do NOT send my medallion now, and invite me to a future Academic Excellence Recognition Ceremony, where I can receive my medallion in person.
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