Alumni Awards and Honor Roll Nomination(s)

Alumni Awards and Honor Roll Nomination Form
Name of the Nominee *

First Name Last Name
I wish to nominate this individual for the following award(s): *

John Nazarian Alumnus/Alumna of the Year Charles B. Willard Achievement Award Alumni Service Award Young Alumni Award Alumni Faculty Award Alumni Staff Award Honor Roll Award
Letter of support (no more than 1 page) *

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Nomination must include a resume and/or a short biography.
Resume/Short Biography

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Attach a Word or PDF file Cancel of
Nominee’s Rhode Island College graduation year(s), if applicable
Nominee’s RIC major or school from which they received their degree(s), if applicable
Nominee’s place of employment and position/title *
Nominee’s email address and/or phone *
Nominator Information
Date *

Month Day Year
Date
Name *

First Name Last Name
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Phone Number *

Area Code Phone Number
Email *
example@example.com
Nominator’s Rhode Island College graduation year(s), if applicable
If you have any additional questions or concerns related to your application, please contact the Office of Alumni Relations at alumni@ric.edu.
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