Skip to content Home About Annual Awards Burian Lecture Series Clinical Education Diversity, Equity and Inclusion Biennial Diversity and Inclusion Conference Facilities Anatomage Table Simulation and Skills Lab Study Hub Interprofessional Education I-PEER Project SUPPORT Academics Career Pathways Continuing Education CE Course Proposal Study Abroad Transfer students Advising Alumni Alumni Academy Nominate an Outstanding Alum Alumni Updates Events Giving Research Pre- & Post-Awards Scholarships Student Services Success Coaching Technology Resources Directory CHHS IT Student Services Contact Us Outstanding Alumni Nomination Form Use the form below to nominate an individual for induction into the CHHS Outstanding Alumni Academy.Note: For 2024 inductees, nominations must be received by April 30. Your Name (required) Your Role (required) Faculty (current or past) Alum CHHS Community Other Other Role: Your Email (required) Nominee Name (required) Nominee Email We'll need a way to get in touch with your nominee if selected. Nominee Department (required) - Select -Blindness and Low Vision StudiesBronson School of NursingGerontologyHealth AdministrationIntegrative Holistic Health and WellnessInterdisciplinary Health Sciences, Ph.D.Healthcare Services and Sciences -or - Interdisciplinary Health ServicesOccupational TherapyPhysician AssistantPhysical TherapySocial WorkSpecialty Program in Alcohol and Drug AddictionSpeech Pathology and Audiology Nominee Graduation Year (required) Why should your nominee be inducted? More information Upload If you have more information you would like to include, you may attach a file here.One file only.2 MB limit.Allowed types: txt, pdf, doc, docx, ppt, xlsx. Submit Leave this field blank
