Stevens Awards Gala Nomination Form

  1. Nominee Information
  2. Nominator Information
  3. Review

Nominee Information

Nomination Award
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Nominee's Name
Nominee Name
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Please provide information about the candidate to substantiate your nomination. Include distinguished service or achievements, such as offices held, papers published, patents awarded, peer recognition, professional accomplishments, etc.
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Please provide references with names and addresses of individuals acquainted with the nominee's record from whom the Awards Committee may seek further information.
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Nominee's Address
Additional Nominee Information:
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Summary
Please provide a summary of the Nominee's accomplishments which meet the criteria of this Award

If you would like to submit additional information for your nomination, please email Michelle Nunez, Director of Development and Alumni Events, at mnunez3@stevens.edu.

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