* Required

SUBMITTER INFORMATION

Your Name required

Your emailrequired

Relationship required

How do you know the nominee?

NOMINEE INFORMATION

Please provide information below about the person you are nominating.

Nominee's Namerequired

Alumna class year

Why are you nominating this person? required

Please provide a brief description (approx.100 words) of the reasons you believe this person should be considered for the Claven Awards.

CONTACT INFORMATION

Street Address

City

State

Zip

Phone

EDUCATION

Undergraduate institution

Degree

Additional education

PROFESSIONAL EXPERIENCE

Current organization name

Current title

Additional background

VOLUNTEER EXPERIENCE

List organizations and roles

ADDITIONAL INFORMATION

Personal interests/activities

Awards and honors

Other information you'd like to provide

Please attach any additional information.

Attach File

Max file size: 10 MB

Please provide an email address where we can send a link to your current form.

Email Address :