Nominate a peer for an alumni award

Please select the appropriate award for your nominee*

Nominee's Information

Nominee's Name*

First Last

Nominee's Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Nominee's Email*

Nominee's Phone*

Nominee's Graduation Year*

Is the nominee is 35 years of age or younger?*

Your Name*

First Last

Your Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Your Email Address*

Your Phone*

Your Graduation Year*

The nominee is a person who recognizes the importance of his/her education at the college.*

The nominee has demonstrated commitment to the University of Florida College of Pharmacy.*

The nominee is distinguished in the pharmacy profession at state and national levels.*

Please list any other characteristics or personal accomplishments supporting the nomination.*