Request for Campus Memorial Plaque Current employees who die while employed by CNM and deceased former CNM employees are commemorated on the Campus Memorial. The name of an employee who dies while in service at CNM is placed on the memorial at no charge pursuant to the submission of this form based on the verification of the deceased's CNM employment. Please refer to the Employee Handbook for detailed information. Requestor's Name Requestor's email Name of Honoree (as you wish it to appear) CNM Department(s) When Employed Years of Service Please provide the range of years the employee worked for CNM (i.e. 2005 - 2010). Job Title(s) What position(s) did the individual hold at CNM? Comments Spam Check