Alumni Award Nomination Form

Which award are you nominating for?

Your Information

Nominator Contact Information

Nominator name

First

Middle

Last

Phone Number

How do you know the nominee?

Nominee Information

Nominee Name

Title

First

Middle

Last

Suffix

Degree

Nominee Phone Number

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Country

Nominee Email

Grad year, degree and college or school

Please send CV or resume (optional), reference letters or supporting materials (optional) via email to alumni@marietta.edu.

Prior award year (if applicable)

Recognition In Field

Other Areas of Note

Service to the College

Distinction in Field

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