NOMINATION FORM

SIEUR DU LUTH AWARD

This award is for exemplary service of three years or more to student organizations, the University, and community. It can be awarded only once to someone who expects to graduate within one semester following the award, or who has graduated within one semester preceding the award. (A student may nominate him/herself.)

Name of Nominee:
Nominee Address:
Nominee Email:
Nominee Phone:

Person Submitting this Form's Name:
Person Submitting this Form's Email:
Person Submitting this Form's Phone:

Specifically state your reasons why the nominee should receive the SIEUR DU LUTH AWARD.

Nomination forms must be submitted online or download a pdf to print out and give to Laura Young in the Student Activities Office, located across from the Kirby Information Desk, by 4:00 pm, Friday, February 22nd, 2008.