Alumni Awards Nomination Form
The Wiess School of Natural Sciences Alumni Awards honor alumni for their achievements in their chosen field or profession.
Name of nominator
*
First Name
Last Name
Email of nominator
*
example@example.com
Phone Number of nominator
*
Please enter a valid phone number.
Name of nominee
*
First Name
Last Name
Email of nominee (if known)
example@example.com
Phone Number of nominee (if known)
Please enter a valid phone number.
Nominee degree and year conferred (if known)
I am submitting a nomination for the
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Distinguished Alumni Award
Recent Alumni Award
Provide a one-sentence summary or award citation for the nominee.
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(Optional) Provide up to three links that provide additional information about the nominee, such as a personal or professional website, LinkedIn, a citation list (Google Scholar) and news or magazine articles.
Upload Statement or Letter of Support
*
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(Optional) Upload one additional document, such as a CV, if available.
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