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What is the difference between an honorary degree and the University of San Francisco medallion?

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What is the difference between an honorary degree and the University of San Francisco medallion?

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The university medallion is awarded at the discretion of the university president in recognition of outstanding work in a specific academic discipline or by distinguished civil or cultural contributions. Ordinarily, the medallion is restricted to residents of the San Francisco Bay Area, although it may be conferred for good cause on nominees beyond the local community.

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