Printable Form

If you want to submit the nomination form in hard copy, please download it here. (PDF)

2009 Prizes and Awards Nominations

Please nominate any student(s) who during the past year(s) have come to your attention because of outstanding achievements and contributions to the Brandeis community. The Committee is particularly interested in the student’s campus involvement, along with personal qualities that reflect the Core Values of the Division of Student Affairs. A detailed statement supporting your nomination is essential.


Deadline For Nominations: Monday, March 23, 2009

* indicates the required fields. 

Student Name*: Class Year*:
Major*: Minor:
Future Plans (If Known):
Please explain the reasons for nomination*:
Nominator’s Name:*:
Department*: Mailstop#:

Please check if you would be willing and able to present at the Student Life Prizes and Awards Ceremony on Thursday, April 30, 2009.

For questions, please contact with Erika Lamarre, Director of Student Development and Conduct (elamarre@brandeis.edu)