Alumni Awards Nomination Form

Nominations are accepted on an ongoing basis throughout the year; however, nominations must be received by June 30, 2017 for Distinguished Alumni and Inspiring Young Alumni Awards to be presented in September 2017.

Any member of the public or the University community may submit nominations. All information submitted on behalf of the nominee will be kept confidential.

Alumni Awards Nomination Committee
UPEI Alumni Office
University of Prince Edward Island
550 University Avenue
Charlottetown, PE C1A 4P3

Make a nomination us the Alumni Award Nomination Form (PDF) or the online form below.

Nominee's name: *

Nominee's address:

Nominee's email address:

Please answer the following questions about the nominee’s contribution and accomplishments that provide support for the nomination. (Please use the space provided or submit a typed document, not exceeding two pages, that answers these questions.

In what way is the nominee's achievement exceptional?

What is the prominence of the nominee in his or her field?

How has the nominee contributed to society and/or served the community or made contributions to UPEI?

In what ways can the nominee be considered an inspiration to students?

Nominator's name: *

Nominator's address:

Nominator's email address:

Nominator's phone number:

Additional information:

Files must be less than 2 MB.
Allowed file types: jpg png pdf doc docx.

Alumni Awards Nomination Form

Alumni

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Alumni Awards Nomination Form

Alumni

About UPEI

Academics

Current Students

Apply to UPEI

Research