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Brave & Bold Award Nomination Form
Please fill out your nomination information below. Those nominated must be 35 years of age, or younger. The deadline for submission is Sept. 1 of the year nominated/awarded.

Nominee Name

Nominee Birthdate (mm/dd/yyyy)

Nominee Address

Street

City

State

Zip

Nominee Phone Number

Nominee Email

Nominee's U of I Class Year (need to be University of Idaho alumnus/alumna)

Nominee's U of I College

Nominated by

Nominator's U of I Class Year (if applicable)

Nominator's Address

Street

City

State

Zip

Relationship to Nominee

Nominator Phone Number

Nominator Email

We the nominators, authorize the UIAA Awards and Recognition Committee to consider this nomination for other alumni awards

Yes
No

Nominee's History
This information is the basis for the evaluation of the candidate, please be complete and thorough. Upload additional sheets detailing specific accomplishments of nominee.
Consideration will be given for a distinguished record of achievement and/or service including:

1. Career accomplishments (bringing organization into national rankings, recognition in national publications, etc.)
2. Service to their career organizations (activities in organizing conferences or institutes, Board of Directors of National Parks and Recreation Association, etc.)
3. Voluntary efforts in charitable causes (Examples might include service to American Red Cross, Literacy Foundation, etc.)
4. Efforts which have improved the cultural, social, political or economic well-being of society (County Music Festival, Governor’s Task Force on Community Development, etc.)
5. Prior recognitions and honors (Mayor’s Award for the Arts, National Cancer Institute Merit Award, Rotary Service Award, Outstanding Science Teacher Award, etc.)
6. Artistic, innovative or technical accomplishments (research presentations, writing and producing theatrical or musical productions, copyrights granted, etc.)

Include the following data with nominations:

• Letters of support or reference (2-5 submissions) that detail the nominees achievements.

• Media or web references are helpful, but not required, to support the nomination.

Additional Files