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Alumni, faculty, staff and friends of Tufts, are welcome to submit nominations for any of the award categories listed below.

The following must accompany this form to ensure that all candidates are judged equally:

• Nominee’s curriculum vitae (CV) or resume
• At least one letter of support from one of the nominee’s constituencies (alumni, administration, faculty, staff, or friend of Tufts) stating specific reasons for the nomination

Incomplete nominations will not be considered by the Awards Committee. Additional information (such as articles, letters of support, etc.) may also be submitted.

DEADLINE

Submit nomination forms and other pertinent information by December 1, 2009.

Award nominations are welcome throughout the year preceding the deadline.

Award Category You may nominate someone for more than one award. Nominees not selected will remain in the nomination pool for one additional year. After that time, the full package must be resubmitted. I am nominating this person for the following award(s): Distinguished Service Award Distinguished Achievement Award Young Alumni Service Award Young Alumni Achievement Award Lifetime Service Award Service Citation Active Citizenship& Public Service Award Nominee Information Name Tufts Class Year(s) School(s) from which degree(s) was awarded  Degree(s) from institution(s) other than Tufts  Home Address City   State  Zip  Country  Email Home Phone Occupation and Title Business Describe briefly why you think this person or group deserves the award(s) for which they are nominated: Business/Professional Accomplishments: Community/ Professional Affiliations: Awards, Honors, Decorations: Publications: Volunteer Service to Tufts (please be specific): Other Volunteer Service: Attach nominee's CV/resume Attach letter of support Attach other document (optional) Attach other document (optional) Nominator Information Name Tufts Class Year(s), if applicable Address City   State  Zip  Country  Phone Tufts Affiliation(s) and/or relation to nominee: Date Submitted

Please enter the word you see in the image below:

*Your email address is required to submit this form:

Paper nominations may be returned in the following ways:
By Mail: Alumni Awards Committee, Office of Alumni Relations, Tufts University, 80 George Street Suite 100-3, Medford, MA 02154
By Fax: 617-627-3938


If you have any questions or need assistance with the form, please send an email to alumniawards@tufts.edu.