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Distinguished Alumnus Nomination Form

Webform

To download and print the nomination form, please click here.

MBKU Distinguished Alumnus

This award recognizes an alumnus with a degree earned more than 10 years ago, who has achieved great professional prominence in their field and is engaged in the community, furthering the goals of MBKU and their profession.

MBKU Distinguished Young Alumnus

This award recognizes an alumnus with a degree earned in the last 10 years who has achieved professional prominence in their industry and is engaged in the community, furthering the goals of MBKU and their profession.

Category of Nomination

Nominee's Information

Name
Address

Nominator's Information

Name
Address
Affiliation to MBKU

Nominator's Statement

Please submit a letter of nomination (no more than 2 pages) which describes in detail why you believe the nominee is deserving of an MBKU Distinguished Alumni or Young Alumni Award.
In your statement, you may wish to:

  • Describe how your nominee is making a positive impact on MBKU, their profession and/or the world around him or her.
  • Illustrate how your nominee exemplifies the University’s mission: “To educate caring, inspired health care professionals who are prepared to deliver collaborative, patient-centric health care in an interprofessional environment.”
  • Detail relevant accolades.
  • Supplemental documents (CV, news stories, etc.) may be submitted.

Please submit the nomination via this web form or email to alumni@ketchum.edu by March 15, 2020.

• Supplemental documents (CV, news stories, etc.) may be submitted.
Upload requirements