Dental Alumni Society Awards Nomination Form

First Name:

Last Name:

Email:

Please list below the information for the person you are nominating.

Nominee:

First Name:

Last Name:

Email (optional):

Graduation Year

Select which award you are nominating the nominee for:

Distinguished Alumni Award

Young Professional Alumni Award

Dental Hygiene Alumni Award

In your nomination letter, please answer the following questions regarding the nominee;

Nominee’s service to The Ohio State University College of Dentistry/alumni activities
Award nominee’s honors
Award nominee’s professional achievements
What inspired you to nominate this person for an alumni award?

Letter of Nomination

Please share your Letter of Nomination in the box below:

Optional additional documents:

One file only.
2 MB limit.
Allowed types: pdf docx.