ALUMNI RELATIONS

recent alumni award.

Please provide as much information as possible regarding your nominee; incomplete nominations will still be considered for the award.

Nominees should meet the following criteria:
1. Graduate of Case Western Reserve University.

2. Member of the Case Western Reserve University alumni community for 10 to 15 years.

3. Exemplary professional or career achievement rooted in the Case Western Reserve University education. OR Exemplary in-kind or philanthropic service to Case Western Reserve University.

Please submit the completed nomination form as well as any supporting materials to:

The Recognition Committee of the Alumni Association of Case Western Reserve University
The Office of University Alumni Relations
The Alumni House
11310 Juniper Road
Cleveland, OH 44106-7035
aa-awards@case.edu
FAX: 216-368-6872


* fields are required
RECENT ALUMNI INFORMATION

Nominee's Name:

*
Nominee's Class Year:
 Address, Telephone number, or E-mail Address:
 
Current/Former Occupation of Nominee:
 Education Background:
 Honors & Awards (specify dates) :
 
Describe how candidate meets the Award criteria:
 
Your Name:
*
Relationship to Nominee: *
Your Preferred Home or Business Phone Number:
*
Your E-mail Address:
*