Alumni Award Nomination Form

Alumni Award Nomination Form
Nominator
Nominator Full Name:
required
Maiden Name (if applicable):
Nominator Address:
required
Nominator Email:
required
Nominator Phone:
required
Are you or a Harcum alumna/us?

required
If yes, your class year:
Relation to nominee:
required
Nominee
Nominee Full Name:
required
Maiden Name (if applicable):
Nominee Address:
required
Nominee Email:
required
Nominee Phone:
required
Class year:
Alumni Awards
Please check which awards(s) best apply:
Lifetime Achievement: Recognition for outstanding achievement in her/his life, personal integrity and lasting contributions to their profession. This is the highest honor given by the Alumni Association.
Community Service: Recognizes an alumna/us who has touched their community through leadership involvement and/or provided significant impact on the community by virtue of their involvement in community organizations.
Outstanding Young Alumna/us: Recognizes a member of the graduating class from the most recent 10 years who has made extraordinary advancements in his/her career, been an active member of the Alumni Association and/or supported the College in a significant manner.
Outstanding Alumna/us: Recognizes a graduate for significant accomplishment and excellence in one or more of the following areas: professional practice, research, teaching, entrepreneurship, mentorship or other activity that brings recognition to the College and the Alumni Association.
Statement of Support
Please provide a brief statement describing the achievements and contributions of the nominee that merit their nomination for the chosen award(s).
required