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Alumnae Achievement Award
Nomination Form

It is not necessary to use this form, but the following information should be provided in this order. Include a resume or curriculum vitae and any other supporting materials. This nomination and all correspondence is confidential.

CANDIDATE'S INFORMATION

NAME:
CLASS:
NAME AT WELLESLEY:
ADDRESS:
CURRENT POSITION:
AREA OF DISTINCTION:
Why are you recommending this person for an award?
SIGINIFICANT ACCOMPLISHMENTS:
Awards, honors, publications, exhibits, performances (include dates, if possible)
EDUCATION:
Institutions, fields of study, dates, degrees
CONTACTS:
Name, address, phone, and email of at least three contacts (alumnae/non-alumnae/colleagues) who can provide relevant information in support of this nomination.

NOMINATOR'S INFORMATION

NAME:
CLASS (IF APPLICABLE):
ADDRESS:
PHONE/E-MAIL:

When you press the submit button, your information will be sent to the Director of Special Programs.

Please e-mail a resume or curriculum vitae and any other supporting material to specialprograms@alum.wellesley.edu.