Distinguished Alumni Nomination Form

Distinguished Alumni Award Nomination 2018-2019

Nominee's Information Required


Nominee's Qualifications

Clearly describe the nominee's qualifications for this award in regards to:



Nominee's Biographical Information

Feel free to include additional information such as resume, link to newspaper clippings, publications, etc. If you wish to e-mail attachments or mail hard copies of the supporting documents for this nominee, please send them to the address below:

UW Bothell distinguished Alumni Award
Attn: Office of Advancement & External Relations
18115 campus way NE
Box 358528
Bothell, WA 98011-8426


Your Information

Please include YOUR name, phone, and e-mail address in the fields below so that we may contact you if we need any further information regarding your nomination.

Security Question Security Question: Required