Dr. Ethelene Jones Crockett Distinguished Alumni Nomination Form

Thank you for taking the time to nominate an outstanding alumnus!

Please consider the following when submitting your nomination below:

  • Nominations are due December 16, 2019
  • Résumés and/or letters of recommendation are useful for the committee to consider.
  • Nominations will be kept on file and eligible for three years, if not chosen the first year.
  • Nominee Information

  • Nominee Name * Required
  • Nominee Address
  • Nomination Details

  • Nominator Information

  • Nominator Name * Required
  • Nominator Address
  • This field is for validation purposes and should be left unchanged.