Alumni Award Nomination

Alumni Award Nomination Form

Your Information

This section is for YOUR contact information. Please enter the information for the alum you are nominating below.
Your First Name
Your Maiden Name
Your Last Name

Undergrad Class Year
Gradudate Class Year
(if applicable)

Preferred Email

Address (Line 1)
Address (Line 2)
Zip Code
Phone Number

Award Nominee Information

This section is for information about the NOMINEE. Please enter the information for yourself above.
His/Her First Name
Her Maiden Name
His/Her Last Name
Undergrad Year
Graduate Class Year
(if applicable)


Award Nomination Questionnaire

This section consists of questions regarding the nominee's qualifications. Please type your answer in the text box below each question.

For more information about the Outstanding and GOLD Alumni Awards, see the Alumni Awards page.

I am nominating this person for:

How has the nominee demonstrated a lifelong commitment to the intellectual, ethical and aesthetic values fostered by Nazareth?
Please list the nominee's professional achievements.
These can include current profession and title (or, if retired, last position held), leadership positions, membership in professional organizations, research, publications, honors, or special recognition.
Please list the nominee's personal achievements.
Please list the nominee's voluntary service and leadership activities.
These can include membership in service/volunteer organizations, community involvement, and service accolades.
How has the nominee’s achievements impacted his/her community or the community at large? Please include specific examples.
Comments? Anything else to add? Please do so below.
If you would like to attach a supporting document (such as a resume), you may upload the file here.
Attach File:

Before submitting, please check to confirm all names, class years and contact information are correct and that all required fields have been completed. Thank you!