Distinguished Alumni Nomination Form Nominee: Full Name: * Telephone: Mailing Address: * E-mail: Nominee's Current Position/Occupation: Nominee's educational attainment at Lakehead University: Other Degrees: The nominee: * Does know that they have been nominated for this award Does not know that they have been nominated for this award Nominator: Full Name: * Date: * Day Day12345678910111213141516171819202122232425262728293031 Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Year Year20212022202320242025 Mailing Address * Telephone: E-mail: References: * Name, Title Attachments * Please review the Nomination Guidelines for the Distinguished Alumni Award and attach the appropriate supporting documentation and references. Additional materials are not required. Files must be less than 2 MB.Allowed file types: pdf doc docx odt.