Sponsor Award Nomination Form

Candidate's First Name 
Candidate's Last Name
Candidate's Gender  Male  Female
Candidate's Mailing Address
Address
Address Line 2
City/Town
State/Country
Zip/Postal Code
Home Phone
Cell Phone
E-mail Address
High School/College Attended 
Academic Interest

State the ways in which this student exemplifies the qualities associated with a Regis College student and why you believe that he or she is a worthy candidate of the Alumni Scholarship Award.
Length of time you've known the nominee years months
Describe your personal relationship and knowledge of the nominee

Alumnus' First Name 
Alumnus' Last Name
Alumnus' Class
Alumnus' Mailing Address
Address
Address Line 2
City/Town
State/Country
Zip/Postal Code
Home Phone
Cell Phone
E-mail Address 

To be completed by student
List the leadership/athletic/school/volunteer/community service activities in which you have been involved.
(Please include the time commitment and length of involvement.)
I believe that I am a worthy candidate of the Alumni Scholarship Award because...
What can you bring to the Regis College Community?

NOTE: This award is honorary and is not based on financial need, but will be included if a financial aid package is awarded. Nomination for the Alumni Scholarship Award does not guarantee awarding.

Regis College Alumni: Scholarship Award Nomination