University at Albany - SUNY - Rockefeller College Alumni Awards

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2013 Rockefeller College Alumni Awards
Nomination Form

Nominee's Contact Information

* Required Fields

Name:
*	First Name
*	Last Name	Maiden Name
*	Email	Phone (w/ area code)
Address:	Street
	City	State
	Zip Code
	Nominee's Employer Nominee's Job Title
Award:

Nominee's Degree Information

* Degree Information is required.

Degree Year(s):

Please check all that apply.

BA in Public Policy

BA in Political Science

MA in Political Science

MPA

MPP

PhD in Public Policy

PhD in Political Science

Graduate Certificate

Other, please specify:

Nominator's Information

Name:
*	First Name
*	Last Name	Maiden Name
*	Email	Phone (w/ area code)
Address:	Street
	City	State
	Zip Code

Nominator's Degree Information

Did you graduate from UAlbany? Yes No

If you are not an alumnus, you do not have to provide degree information.

Degree Year(s):

Please check all that apply

BA in Public Policy

BA in Political Science

MA in Political Science

MPA

MPP

PhD in Public Policy

PhD in Political Science

Graduate Certificate

Other, please specify:

Short Biography

Please provide a short biography of the nominee and explain your reasons for nominating him/her.

Please type as much in this box as you like. It has no preset character limit.

If you have questions, please contact:

Ilana Shapiro
Alumni Relations and Events Coordinator
ishapiro@albany.edu
(518) 442-3862

Peter Finn
Assistant to the Dean
pfinn@albany.edu
(518) 442-5258

Alumni Dinner
& Awards Ceremony
Rockefeller College of Public Affairs & Policy
University at Albany, State University of New York
New York State Museum
222 Madison Avenue, Albany, NY 12210

[Map & Directions]
May 17, 2013
Cocktail Hour:
6:00-7:00pm

Dinner and Awards Ceremony:
7:00-9:00pm
Contact: Mary Hunt
(518) 442-5264
mhunt@albany.edu

2013 Rockefeller College Alumni Awards Nomination Form