Alumni Awards Nomination Form

Nominee Information

Nominee Name (First and Last)

Maiden Name (If Applicable)

Pronouns

Nominee Email Address

Daytime Phone Number

Mailing Address

Degree

Year of Graduation

Award Category

Rising Star Alumni Award

Dr. James Jamieson Influential Alumni Award

Distinguished Alumni Achievement Award

Honorary Alumni Award

Philanthropy Alumni Award

Are you self-nominating?

Yes

Your Information

Your Name (First and Last)

Your Email Address

Attachments

Please upload a CV for the nominee

Click here to upload a file

One file only.
5 MB limit.
Allowed types: pdf doc docx.

Please upload a summary of the nominee's achievements (250 to 500 words)

Click here to upload a file

One file only.
5 MB limit.
Allowed types: txt rtf pdf doc docx.

References

Full Name

Daytime Phone

Relationship to Nominee

Full Name

Daytime Phone

Relationship to Nominee