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Welcome to the nomination page for the Distinguished Alumnus Award. Please take a moment to fill out the form below. Thank you!

Get back in touch with your Department!

 

Please make sure to fill out all required fields; all other fields are at your option.
Required fields are marked by a (*).

First, please identify yourself:

Title*   First Name*    M. Initial   Last Name*   Jr., Sr., etc.    
                


Please include contact information, in case we need to discuss your nomination with you:

Email Address*  
Street Address*  
 
City*  
 
State  
 
Zip (Postal) Code*  
 
Country*  
 
 
Daytime Phone*  


Now, identify who you wish to nominate for the University of Maryland Physics Department Distinguished Alumnus Award:

Title*   First Name*    M. Initial   Last Name*   Jr., Sr., etc.    
                


To assist us in processing this nomination, please provide as much contact information as you can for your nominee:
UMD Degree(s) and Year(s)  
Email Address  
Street Address*  
 
City*  
 
State  
 
Zip (Postal) Code  
 
Country*  
 
 
Daytime Phone  
Job Title  
Employer  


Please state why you feel your nominee should be honored with our Distinguished Alumnus Award*:

Go to the University of Maryland Alumni Association  |  Back to the Physics Department Home Page


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Physics Department, University of Maryland,College Park, MD 20742-4111
Phone: 301.405.3401 Fax: 301.314.9525
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