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OUTSTANDING ALUMNI NOMINATION FORM
Nominator's Name
Surname
First
Middle
Maiden (where applicable)
Nominator's Telephone Contacts:
Work
Home
Mobile
Nominator's Email
Please indicate one category and complete the information below. Kindly indicate why you believe this person should be considered an Outstanding Alumnus. An alumnus is anyone who has studied at the institution for two terms, however, full graduates will be given preference.
Arts & Culture
Entrepreneurship
Law Enforcement
Public Sector Management
Business
Civic & Social Engagement
Education
Environmental Advocacy & Stewardship
Journalism & Media
Legal Practice & the Judiciary
Medicine & Allied Health
Politics
Religion
Science, Engineering, Technology & Architecture
Sports & Athletics
Tourism & Hospitality
Nominee's Name
Surname
First
Middle
Maiden (where applicable)
Nominee's Profession
Nominee's Telephone Contacts:
Work
Home
Mobile
Nominee's Email
Nominee's Date of Birth (Day/Month/Year)
Nominee's Sex
Male
Female
Years Nominee attended COB/UB or Year Graduated or Degree earned from COB/UB
**Immediately after completion of your online Call for Nomination Form, please provide a brief bio of the candidate (250-500 words) via email at
andrika.moss@ub.edu.bs.
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