Alumni Awards Nomination Form

It is understood that the information presented on this form will be treated confidentially in its use by the School of Nursing Office of Alumni Relations and that any decision made by the School will be final. Please email or call 800-333-4428 with questions or concerns.

Choose an award for this nomination:

Established in 1984, the Distinguished Alumna/Alumnus Award recognizes a graduate whose exceptional professional achievements, contributions to one’s chosen field, and service to the School of Nursing have brought honor to the individual and to the University of Rochester.

Established in 2013, the Humanitarian Award honors a graduate whose work as a practitioner, administrator, volunteer, or researcher has had a profound impact on those most in need.

Nominee Information

Reasons for Nomination

Additional Education

Present Profession

Nominator Information

In addition to completing the above form, the nominating process requires the following additional materials:

  • Curriculum Vitae of nominee, summarized into a maximum of two pages. (If providing award information, please only submit the number awarded).
  • Maximumtwo letters of support from University of Rochester alumni or others

Optional, but encouraged:  You also may choose to submit supportive articles or documents written by or about the nominee, or any other information that will help inform the School of the candidate’s qualifications.

Nominating materials can be emailed to or mailed to:

URMC Academic Programs
School of Nursing Office of Alumni Relations
Alumni Awards Program
Larry and Cindy Bloch Alumni and Advancement Center
300 E. River Road, P.O. Box 278996
Rochester, New York 14627-8996