Your name:

Your telephone number (with area code):

Your e-mail address:

I nominate the following United Alumnus/a:

For recognition in the category of (select one):

Effective Ministry: Persons eligible for this award are those who have developed outstanding (new or unique) ministries; who are engaged in a particular local expression of ministry and witness; who serve in challenging areas of ministry defined by characteristics such as geographic region, cross-cultural appointments, etc.

Distinguished Alumnus/a: Persons eligible for this award are those who have obtained denominational, ecumenical or professional distinction.

The ministry of this alumnus/a merits recognition because:

Please contact the following persons to provide additional information about the nominee’s ministerial service:

Name:
Phone (with area code):

Name:
Phone (with area code):