Nominate a Distinguished Alumnus/a

The Medical Alumni Association and the Jacobs School of Medicine and Biomedical Sciences invite you to submit nominations.

Criteria include, but are not limited to, evidence of the following:

  • Outstanding achievement as a physician/biomedical scientist
  • Personal leadership in the advancement of the medicine/biomedical sciences
  • Community service and teaching

To submit a nomination, please fill out the nomination form below and return it along with a curriculum vitae of the nominee.

 
 
Nominee category:
Nominee category:
 
 
 
 
Provide 2-3 sentences about alumnus/a and, if available, a website link for more information about nominee
 
 
 
 
 
 
(Required)