Creighton University

Alumni Merit Award Nomination Form

Alumni Merit Award Nomination

Click here to pre-fill this form with nominator information.

First Name:

Last Name:

Home Street 1:

Home Street 2:

Home City:

Home State:

Home Zip Code:

Preferred E-mail:

E-mail

Preferred Phone:

Nominee First Name:

Nominee Last Name:

Nominee's Education:

Nominee's Honors and Activities:

Nominating Questions:

In your opinion, how has the nominee provided distinguished service to the University, to the state, to learning, or mankind; to the arts, to the sciences, or by constructive philanthropy or some other outstanding public service? Please provide specific examples.
How has the nominee manifested such qualities in his/her personal life that mark him/her as cultured and of high moral principles guided by the Jesuit ideals of being men and women for others? (Please see the Creighton Credo.)

Answer to Question 1:

Answer to Question 2:

Resume/Curriculum Vitae for the nominee (PDF/DOC):

Letters of Support:

I will mail or fax supporting information later
I am including letters of support (Copy and Paste below)

Please copy and paste a minimum of one and no more than three letters of support:

Reference 1 (Name and Phone Number):

Reference 2 (Name and Phone Number):