Alumni Award Nomination Form

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Alumni Award Nomination Form

Each year, the Alumni Association Board presents several awards to alumni and long-time university supporters. These awards will be given out during the Alumni Awards Dinner at Homecoming in October. If you know an alum who has done exceptional work in their field or for the University, please submit a nomination letter. Thank you!

Submit a nominee:

Please fill out the form below or email nomination information to alumni@rockford.edu.
Please also email or mail letters of recommendation and/or additional information to the Alumni Office. This additional documentation will help in the selection process.

Rockford University
Alumni Relations
5050 E. State St.
Rockford, IL 61108-2393

Alumni Nomination Form

Nominee Information
Please provide as much information as possible.
Name of Nominee*
Class Year
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Email
Best Daytime Phone
Title/Position:
Award Category*
- Alumna/Alumnus of the Year Award
- Award of Distinction
- Karl C. Williams Award
- Mary Ashby Cheek Award
- Outstanding Young Alumni Award
- Talcott Cross Award
Choose all that apply
Reason for Nomination
Recognitions / Accomplishment
Education / Degree(s)
Service to Rockford College / University
Spouse's Name
Nominator's Information
College(s) Attended
Nominator's Name*
First Last
Email*
Phone

Alumni Award Nomination Form

Alumni Award Nomination Form

Alumni Nomination Form

Nominee Information

Nominator's Information