Young Alumni Award Nomination Form

Please use the form below to make a nomination for the Young Alumni Award.

* = required field

Nominee's Name*
Nominee's Home Address*
Phone
E-mail Address
Class Year
Luther Degree/Major
Other Institutions/Degrees
Present Occupation/Title
Professional Positions Held
Professional Awards and Honors Received
Professional Memberships
Community/Volunteer Organization Memberships or Positions Held
Publications/Research
List Any Other Reasons You Believe Your Nominee is Qualified for this Award
Your Name*
Your Address*
Your E-mail Address
College Affiliation (If Applicable)