Alumni Award Nomination Form

Award Information

Please select the appropriate award for your nominee: *

Nominee Contact Information

Name*

Address

Email Address

Phone Number

Graduation Year

If you are not a Pharmacy alumni, please type N/A

Your Contact Information

Name*

Address

Email Address*

Phone Number*

Graduation Year*

Criteria

In your own words, please explain how the nominee meets the following criteria.
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. *

The nominee is 35 years of age or younger (applies only to nominees of Outstanding Young Alumni Award):


Please submit any supplemental materials to alumni@cop.ufl.edu or mail to:

 

Office of Development and Alumni Affairs

PO Box 103570

Gainesville, FL 32610