LINCOLN ALEXANDER MEDAL OF DISTINGUISHED SERVICE
NOMINATION FORM
*Note: the need for confidentiality is paramount. Please do not inform the nominee about his/her candidacy.
1. Enter information in the fields below
2. To fill form and save, select Save As under File tab
3. Nominators should refer to Guidelines for the Awarding of the Lincoln Alexander Medal of Distinguished Service
1
for
full criteria and documentation requirements
Nominee Information
Name:
Telephone:
Email:
Full Mailing
Address:
Nominator Information
Name:
Email:
Telephone:
Inclusions
Nomination Form Available on the University Secretariat Website
2
Statement of Nomination (250 words max. This statement will appear on the ballot to Senate. Only
typed submissions will be accepted)
Letters of Support
Additional Information (optional)
This form, with attachments, should be submitted via email at univsec@uoguelph.ca, or in person to:
Senate Honours and Awards Committee
c/o University Secretariat
4
th
Floor, University Centre
Questions can be directed to Joanne Emeneau, Associate University Secretary, via email at
joanne.emeneau@exec.uoguelph.ca or telephone at 519-824-4120 ext. 56758
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URL: https://www.uoguelph.ca/secretariat/office-services/senate/university-awards-and-honours/lincoln-alexander-medal-
distinguished-service
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URL: https://www.uoguelph.ca/secretariat/office-services/senate/university-awards-and-honours/lincoln-alexander-medal-
distinguished-service-0
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