Alumni award nomination form

I wish to nominate:


UW-Eau Claire degree:

Additional and/or advanced degrees and institutions attended:

Current street address:

City, state, ZIP:


Current occupation:

Award for which you are nominating this individual (see award descriptions):

Please explain why you feel this individual should receive an award:

What is your nominee's life-guiding philosophy and/or greatest strengths?

Submitted by:


Street address:

City, state, ZIP:

Daytime phone:

e-mail address:

Thank you for completing our alumni award nomination form.