Newman Civic Fellows Nomination Form

Use the form below to nominate an eligible student for the Newman Fellows Award.

 

Newman Civic Fellows Nomination Form

Newman Award Nomination

Newman Award Nomination

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  • Faculty/Staff Nominator Information

  • Your Name Your Name
  • Phone Phone - -
  • Please select all that apply:
    Please select all that apply:

  • Student Nominee Information

  • Student's Name Student's Name