Lawrence University
Alumni Association
Lawrence University Award Nomination Form
Appleton, Wisconsin

Please fill out the nomination form as completely as possible. Because many alumni are nominated each year, we ask that you help us to keep this process confidential. If you would prefer to make your nomination over the phone, you can call 800-283-8320 ext.6549. Candidates are researched by the LUAA Nominations and Awards committee. A member of this group may contact you for further information.

Nominee Information
Name:
Class year: LU M-D
Profession or title:

Why do you feel this person should be recognized with an award? (Please
feel free to include details that will help the committee with its research.)

Where might we find additional research information to support this candidate's nomination?

Nominator Information
Please complete this personal information form, in case a member of the LUAA
Nominations and Awards Committee needs to contact you for further information.

Your name:
Class year: LU M-D
Home address:
City:
State/Province:
ZIP/Postal code:
Country:
Home phone:
Work phone:
Preferred e-mail:
  Do NOT publish or release e-mail

* Important note: Research for Alumni Awards is highly confidential. Please refrain from notifying alumni of your nominations.

© 2001 Lawrence University, PO Box 599, Appleton, WI 54912 (920) 832-7000 webmaster@lawrence.edu
Last Modified: Thursday December 19 2002