Arts & Sciences Distinguished Alumni Nomination Form

Please use this form to nominate an accomplished Arts & Sciences alumnus/a. The more details provided regarding the nominee’s accomplishments, the more easily we can provide full information to the selection committee. Self-nomination is welcome. Posthumous nominations are also welcome.

For more information please contact Phil Castleberry at phil_castleberry@wustl.edu or (314) 935-7377.

Nominee name: *

Year(s) of graduation:

Other School(s) and Degree(s):

Professional/civic/organization title(s):

Company or organization (name, address, nature of business or organization):

How has the nominee demonstrated high professional or academic achievement?:

How has the nominee demonstrated service to Washington University?:

How has the nominee demonstrated service to community and/or society?:

Additional comments regarding nominee's qualifications:

Your Name: *

Your Class/Affiliation/Title:

Your Address:

Your Telephone:

Today's Date:

Feel free to include supporting materials: nominee’s C.V./resume, news/scholarly articles, letters of support etc. [pdf only]:

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Arts & Sciences Distinguished Alumni Nomination Form