Alumni

Alumni of The Year Nomination Form

Alumni of the Year 2020 Nomination Form

Nominee's Information Name of Nominee: Required

Email Address:

Street Address:

City:

State:

Zip:

Nominee's Qualifications

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

Career Experience & Outstanding Achievements: Required

Community Service:

Nominee's Biographical Information Please Share the Nominee's Biographical Information: Required

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
uwbalumn@uw.edu

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.

Nomination Submitted by: Required

Phone Number:

Email Address: Required

Security Question: Required