Nomination Form

Alumni Nomination Form

Use this form to nominate persons for the Distinguished Alumnus/Alumna Award, Outstanding Young Alumnus/Alumna Award or the Loyalty Award.

We do not require additional documentation to support your nomination. If, however, you feel additional materials are helpful, we suggest that you mail them to:

The Office of Alumni Relations
315 E. College Ave.
Greenville, IL 62246

Nominated By:

  • Name of Nominator *
  • GU Class
  • Date of Nomination *
  • Address *Street AddressStreet Address Line 2City State / ProvincePostal / Zip Code Please Select
  • Phone Number * -Area CodePhone Number
  • E-mail *

Nominee Information

Address

Award Recommendation

Nominated By

Address

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