Alumni Award Nomination Form

Alumni Nomination Form

The deadline for nominations for the yearly awards is April 6.
NOMINEE INFORMATION
Nominee*
Street Address*
City*
State*
Zip*
Telephone Number*
WVWC Class Year*
NOMINATOR INFORMATION
Nomination Submitted By*
Street Address*
City*
State*
Zip*
Day Telephone Number*
Evening Telephone Number*
E-Mail Address*
Please check the appropriate award(s) to consider:*
How long have you known the nominee, and what is your relationship with him/her?*
Please enter a detailed explanation as to why this person should be considered for a Wesleyan award. Only submissions with an explanation will be considered for an award.*
Should be Empty: