* 1. First and last name of the alumnus/a being nominated

* 2. UAS7 member they attended (please note that only alumni who spent a semester, year, or research program (Internship Program) with UAS7 are eligible--not UAS7 graduates):

* 3. Please describe your reasons for nominating this alumnus/a. If you need to expand beyond this field, please continue with an email to info@uas7.org.

* 4. Please note your name, an email address and phone number we can reach you at, and describe your own connection to UAS7, if any.