University of California - Santa Barbara

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Awards Nomination

I Nominate...

Name

Address

City

State

Zip

Daytime Phone

Evening Phone

UCSB Degree(s)

Year(s)

Spouse's Name (if applicable)

Spouse's Degrees

Spouse's Grad Year

For the Following Award Category ...

Please place a check next to the appropriate award category. A nominee may be moved to another category at the discretion of the selection committee.

Distinguished Alumni

The nominee must be a graduate or former student and have achieved outstanding recognition in his/her field of endeavor.

Lifetime Achievement

The nominee must be a graduate or former student and have achieved exceptional distinction in a given occupation or service over his/her lifetime.

Graver Alumni Service

The nominee must be a graduate or former student and demonstrated exceptional leadership and service to the University through direct and meaningful involvement with Association-related activities.Sitting members of the Board of Directors of the UCSB Association and previous recipients are not eligible for this award.

Honorary Alumni

The nominee must be a non-alumnus/alumna of UCSB. The nominee must be a friend of UCSB or its predecessor institutions whose dedication and commitment has significantly enriched the substance and contributed to the reputation of UCSB as one of the nation's leading universities. The nominee must have attained significant professional or personal accomplishments. The nominee must have demonstrated exceptional integrity and character.

Nominated By...

First Name:

Last Name:

Preferred Address 1:

Preferred City:

Preferred State:

Preferred Zip Code:

Preferred Phone Number:

Email:

Information about the Nominee

Other colleges or universities attended:

Honors and awards:

University service:

Please include a typed statement indicating why you believe this nominee is deserving of the award.

Newspaper and magazine articles or other supporting information is encouraged. It can be mailed to Alumni Awards, Mosher Alumni House - MC 1120, Santa Barbara, Calif. 93106-1120 or emailed to ucsbalum@ia.ucsb.edu.

Questions? Please email ucsbalum@ia.ucsb.edu