Distinguished Alumni Nominations - St. Louis College of Pharmacy

Nominate an outstanding alumnus.

The Alumni Association accepts nominations for the Distinguished Alumni, Young Alumnus, and Outstanding Achievement awards throughout the year. Please use the form below to submit nominations for Reunion Weekend during fall 2013.

•DISTINGUISHED ALUMNI and OUTSTANDING ACHIEVEMENT AWARDS are presented in recognition of professional accomplishment, community service, or service to the College or Alumni Association. The awards committee will decide the category, based on the nominating information.
•THE YOUNG ALUMNUS AWARD is presented to a STLCOP alumnus who has graduated within the past decade. The honoree must have demonstrated outstanding achievement and leadership.

Questions that require an answer are marked with *


1	*	Your name:


2	*	Your phone number:


3		Your e-mail address:


4	*	Your relationship to nominee:


5	*	Nominee's name:


6		Nominee's maiden name (if applicable):


7		Nominee's graduation year:


8		Nominee's phone number:


9		Nominee's e-mail address:

Nominee's address:

	Street address
	City, State
	Zip code


11	*	For which award are you nominating this individual?


12	*	Why do you feel this nominee should receive this award? (If you space limits your answer, please e-mail your response to npowell@stlcop.edu.)

If you have access, please e-mail the nominee's resume or CV, a letter of recommendation from another source, or if you have more information to send on the nominee outside of this form, please e-mail it to Necole Powell at npowell@stlcop.edu.