Alumnus Summa Laude Dignatus Award

Use the form to submit basic information and a description of why your nominee should receive the ASLD Award. Any supporting documents (curriculum vitae, newspaper clippings, publications, etc.) must be sent by mail.

(Note: UW faculty and staff can use the ASLD Catalyst Dropbox - requires UW NetID logon - to submit nominations.)

Send supporting documents to:
Kyle Funakoshi
UW Alumni Association
4333 Brooklyn Ave NE
Seattle, WA 98195

The deadline for submission is January 31, 2011.

ASLD Nomination Form

Please fill out the following form to nominate someone for the Alumnus Summa Laude Dignatus Award. Mandatory fields marked with *

Nominee Information

1. Nominee Name *:
2. Class Year (of first degee if more than one):
3. Mailing Address:
4. City:
5. State/Province:
6. ZIP/Postal Code:
7. Country (leave blank if U.S.):
8. Phone Number:
9. Please explain why you feel this nominee should receive the University of Washington's Alumnus Summa Laude Dignatus Award *:

Your Information

1. Your Name *:
2. Mailing Address:
3. City:
4. State/Province:
5. ZIP/Postal Code:
6. Country (leave blank if U.S.):
7. Phone Number:
8. E-mail Address *:

Supporting documents for your nominee (curriculum vitae, copies of newspaper clippings, publications, etc.) should be sent under separate cover by January 31, 2011 to:

Kyle Funakoshi
UW Alumni Association
4333 Brooklyn Ave NE
Seattle WA 98195

Questions?
Please contact Kyle Funakoshi at 206-543-0540 or kyfu@uw.edu.