Alabama's Public Liberal Arts University

ALUMNI & FRIENDS

Alumni Awards Nomination Form

Awards Home

NOMINEE:

 
Last Name* First* Maiden

 

NOMINATION CATEGORY*:

 Distinguished Alumnus Award                                                Alumnus Loyalty Award

Nathalie Molton Gibbons Alumni Achievement Award         Nathalie Molton Gibbons Young Achiever's Award

 

Home Address:

Street or PO Box City State Zip Code
 
Home Phone: E-mail:
i.e.(205) 777-9999  

 

Occupation: Place of Business:

 

UM Class Year:

Other Institution(s) Attended/  Degree(s) Earned:

Honors/Achievements:

Additional Comments:

  

NOMINATOR:  

Last Name* First* Maiden

 

Home Address:

Street or PO Box City State Zip Code
 
Home Phone:    E-mail*:
 
i.e. (205) 777-9999  

 

In what capacity have you known the nominee?

Nominator’s standing*:

 Alumna/Alumnus

Faculty/Staff

Student

Other

Note: Those submitting nominations using this web form should also send nominee’s current résumé and three letters of support to: University of Montevallo Alumni Awards Committee, University of Montevallo, Station 6215, Montevallo, AL 35115-6000.

 

*Indicates required fields.