Nomination Form - Northwestern College

Nomination Form

Complete this form to submit your nomination

Nominee's Name

Nominee's Graduation Year (if known)

Nominee's E-mail Address

Nominee's Address

City

State

Postal Code

Award

Please tell us why you think this nominee is deserving of this award.

If you are aware, what are the nominee’s current involvements (ie. Church, community, occupation)

Nominator's Name

Nominator's E-mail Address

Referral Source

Undergraduate