NOMINATION FORM
2005 - 2006 FOUNDERS AWARD
SECTION MEMBER AWARD
NAME: ___________________________
NOMINATED BY: _________________________________
QUALIFICATIONS:
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
SECONDED BY:
______________________________________________
STUDENT AWARD
STUDENT NAME: ______________________________
CONTACT ADDRESS: ______________________________________________
_______________________________________________
IN SCHOOL: ___ H.S. SENIOR
___ UNDERGRAD
NOMINATED BY:____________________________________
Mail to:
LeRoy Stoner
Peck School of the Arts
Zelazo 110
UWM Box 413
Milwaukee, WI 53201-0413