Elliott School Alumni Icon Awards Nomination Form You must have JavaScript enabled to use this form. Section 1: Nominator Contact Information This section is about the person submitting the nomination. First and Last Name Title Title - None -MissMsMrMrsDrOther… Enter other… First Last Email Address GW Affiliation (alumni, current/former faculty, etc) School & College | Class Year (Columbian College of Arts & Sciences, School of Business, etc) Relationship to Nominee Section 2: Nominee Information This section is about the person being nominated. First and Last Name Title Title - None -MissMsMrMrsDrOther… Enter other… First Last GW Degree(s) and Graduation Year(s) Current Job Title & Organization Residence City/Town State/Province - None -AlabamaAlaskaAmerican SamoaArizonaArkansasArmed Forces (Canada, Europe, Africa, or Middle East)Armed Forces AmericasArmed Forces PacificCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFederated States of MicronesiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyomingAlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNova ScotiaNorthwest TerritoriesNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Phone Number Which phone number is this? Home Mobile Business Have you notified the nominee of this nomination? Yes No Section 3: Award Selection Please select the single award category that best fits the nominee's achievements. Award Category Distinguished Alumni Achievement Award Alumni Outstanding Service Award Recent Alumni Achievement Award GW Philanthropy Award Section 4: Nomination Rationale Please provide as much concrete evidence of achievements, impact, leadership, and character—the elements that make for a winning nomination! 4.1. Achievements and Impact Describe the nominee’s specific achievements, successes, and the tangible impact they have made in their chosen field, community, or for the institution. (Minimum 200 words, Maximum 500 words) 4.2. Leadership and Character Explain how the nominee demonstrates outstanding leadership, character, integrity, and dedication. What sets them apart? (Minimum 100 words, Maximum 250 words) 4.3 Documentation Attach Nominee's CV/Resume and letter of recommendation. Please ensure attachments are in PDF format. One file only.256 MB limit.Allowed types: txt, rtf, pdf, doc, docx, odt, ppt, pptx, odp, xls, xlsx, ods. Section 5: Supporting Evidence (Optional) Optional URLs Please list URLs (website, LinkedIn, news articles, etc.) that can help the committee verify the nominee’s accomplishments. By submitting this form, you affirm that the information provided is accurate and complete to the best of your knowledge. Leave this field blank
