Distinguished Alumni Nomination Form


Distinguished Alumni Award Nomination 2014

Nominee's Information Required


Nominee's Qualifications

Clearly describe the nominee's qualifications for this award in regards to:



Nominee's Biographical Information

Feel free to include additional information such as resume, link to newspaper clippings, publications, etc. If you wish to e-mail attachments or mail hard copies of the supporting documents for this nominee, please send them to the address below:

UW Bothell distinguished Alumni Award
Attn: Office of Advancement & External Relations
18115 campus way NE
Box 358528
Bothell, WA 98011-8426


Your Information

Please include YOUR name, phone, and e-mail address in the fields below so that we may contact you if we need any further information regarding your nomination.

Security Question Required

Did You Know?

Nine out of 10 of UW Bothell's 17,000 alumni live and work in the state of Washington.