Alumni Merit Award Nomination

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Click here to pre-fill this form with nominator information.

Nominator Information

First Name:
Last Name:
Home Street 1:
Home Street 2:
Home City:
Home State:
Home Zip Code:
Preferred E-mail:
Area Code:
Phone Number:
Mobile Phone Area Code:
Mobile Phone Number:

Tell us about the person you are nominating for this award

Nominee First Name:
Nominee Last Name:
Nominee's Education:
Nominee's Honors and Activities:

Nominating Questions:
  1. In your opinion, how has the nominee provided distinguished service to the University, to the state, to learning, or mankind; to the arts, to the sciences, or by constructive philanthropy or some other outstanding public service? Please provide specific examples.
  2. How has the nominee manifested such qualities in his/her personal life that mark him/her as cultured and of high moral principles guided by the Jesuit ideals of being men and women for others? (Please see the Creighton Credo.)
Answer to Question 1:
Answer to Question 2:
Resume/Curriculum Vitae for the nominee (PDF/DOC):
Letters of Support:

Please copy and paste a minimum of one and no more than three letters of support:
Reference 1 (Name and Phone Number):
Reference 2 (Name and Phone Number):