Nomination Form

Nominee's Name
Class Year  
Nominee's Phone No.
Nominee's Address
City
State
Zip
Name of Award
Why do you think this nominee should be receive this Award? 
Please be very specific in what you know about the nominee's accomplishments.
Nominator
Nominator's Phone
Nominator Address/City/State/Zip
Nominator email address

Please send additional materials in support of your nomination to :
Shana Murrell, Director of Alumni Relations
Bridgewater State University
25 Park Terrace
Bridgewater, MA 02325

Questions? Please call 508-531-2009