2019 Outstanding Young Alumni of Achievement Nomination Form

Nomination Deadline: February 28, 2019

Please fill out the nomination form as completely as possible. Note that the nominee must be 40 years of age or younger at the time of nomination.

Resumes and CVs will not be accepted and cannot be submitted in place of the nomination form.

Each nomination form must be accompanied by a letter of recommendation for the nominee from a past or current UAH faculty or staff member OR a past or current member of the UAH Alumni Association Board of Directors. (Nominators who are UAH faculty or staff may write and submit the letter of recommendation themselves if they choose.)

Submitting a nomination does not guarantee selection as an award honoree.

Please do not notify your nominee of his/her nomination. All nominations are asked to be kept confidential.

Honorees will be announced following selection and confirmation by the UAH Alumni Association Board of Directors. Awards will be presented at the Alumni of Achievement Awards in fall of 2019 (date and details to be announced).

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* 1. Nominator Information

Your Name:

Your Address:

Your Phone Number:

E-mail Address:

Relationship to Nominee:

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* 2. Nominator Graduation Information (if you are a UAH graduate)

College:

Class Year:

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* 3. Nominee Information

Name:

Age:

Address:

Phone Number:

E-mail Address:

Job Title:

Employer:

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* 4. What significant contributions has the nominee made to his or her industry, academia, or research? Please reference any publications, awards, patents, or special honors (250 words or less).

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* 5. Describe the nominee's impact and influence on UAH. Please include any volunteer involvement, event participation, and support (250 words or less).

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* 6. What other accomplishments, such as community service, creative excellence, or leadership roles, qualify this nominee as an Alumni of Achievement honoree (250 words or less)?

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* 7. Please upload a signed letter of recommendation of no more than one page from a past or current UAH faculty or staff member OR a past or current member of the UAH Alumni Association Board of Directors.

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