Rock Alumni Logo
 

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.

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