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Alumni Awards Nomination Form

Deadline: Monday, December 17, 2018 at 5 p.m. 
Questions: Contact Alumni & Community Relations at 913-588-1255 or

To nominate a classmate, colleague or health care professional, please return the following required information:

  • Completed nomination form below
  • Nominee's current curriculum vitae
  • Two letters of recommendation - recommendation letters are essential to the selection process and the most effective letters will address each criteria listed.

Note: The nomination form below can be submitted with or without the supporting materials. You can send the CV and letters of recommendation at a later time via fax, email or mail.

Fax: 913-588-1465
Mail: KUMC Alumni, 3901 Rainbow Blvd, Mailstop 2017, Kansas City KS, 66160

Incomplete nominations will not be considered by the selection committee.

Last modified: Jul 26, 2018