Willamette University

Alumni Relations

Willamette University Alumni Citation

Nomination Form

Submit a nomination by filling out the form below.

If you have questions or comments, contact Denise Callahan '95, M'00.

Note: Field Names in Red are Required.

Nominee Information

Name
Class Year
Address
Phone
Email
Occupation/Profession
I wish to nominate this person for the following award:Distinguished Alumni Award
Lestle J. Sparks Medallion
Young Alumni Leadership Award
Please include comments or reasons for nomination

Nominator Information

Your Name
Class Year (if applicable)
Address
Phone
Email