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Nominee Information:

 

 

 

 

 

Walter Gilbert Nomination Form

Full Name:

 

Telephone Number:

 

Mailing Address:

 

Email Address:

 

 

Auburn University Graduation Date:

 

 

Details of outstanding work and/or service for at least 20 years post graduation:

 

Professional Activities (including approximate dates):

 

 

 

 

 

 

 

 

Civic Activities (including approximate dates):

 

 

 

 

 

 

 

 

In what area of influence/importance is the nominee best known?

 

 

 

 

 

 

 

Athletic Highlights (including approximate dates):

 

 

 

 

 

 

If others have further knowledge of the candidate, their letters of support would also be welcome.  They can be forwarded to the address below.

 

 

Nominator Information:

 

Full name:

 

Telephone number:

 

Mailing Address:

 

Email Address:

 

 

 

 

I certify that I have contacted the nominee and ascertained their qualification for the award and their willingness to accept if awarded.

 

 

 

 

 

 

Signature of Nominator:

 

Date:

 

 

 

 

 

Please submit completed nomination forms to:

 

Office of the Committee on Intercollegiate Athletics

Attention:  Awards Subcommittee

1015 Ralph Brown Draughon Library, 231 Mell Street

Auburn University, Alabama 36849-5335