Regent Awards Nomination Form

Information

Name, email, address, and phone contact information for the individual you intend to nominate
Name, email, and phone number of those who have submitted a Letter of Support

Documents (pdf preferred)

1 1 - Nominee info 2 2 - Letters of support 3 3 - Nominator info 4 Preview 5 Submit nomination

Award Type: *

For descriptions of the type of awards, please visit: https://regents.cu.edu/awards

First name:

Last name:

Email:

Mailing address 1:

Mailing address 2:

City:

State:

Zip:

Phone (home):

Phone (work):

Phone (mobile):

Fax:

Campus affiliation:

Nominee resume/vitae upload:

Files must be less than 2 MB.
Allowed file types: pdf doc docx.

Nomination for Honorary Degree for outstanding Achievement in one or more:

Intellectual Contributions

University Service

Public Service

Philanthropy

Has this nominee received a Regents award previously?

Yes

Please list award date: Previously awarded on:

A. List of most outstanding achievements:

IMPORTANT NOTE If you have any problems with this form, please contact Amber.McDonnell@cu.edu.

**NOMINATION DOES NOT GUARANTEE AWARD**

guarantee

THE UNIVERSITY OF COLORADO SYSTEM