Distinguished Alumni Award

The Distinguished Alumni Award is the highest honor Northeast Ohio Medical University (NEOMED) bestows upon its graduates. The award recognizes an individual who:

is an alumnus/alumna
has met and transcended his or her fundamental role as a health care provider
has become a leader in the advancement of research, service or education
has demonstrated notable accomplishments in research or exhibited exemplary accomplishments in any of the following areas, including but not limited to: leadership, community service, teaching/education and volunteerism.

Name*
Prefix First Last Suffix
Phone*
Phone number is collected in case the committee has questions or needs additional information.
Email*

Email address is collected in case the committee has questions or needs additional information.
Nominee's Name*
Prefix First Last Suffix
Does this individual know he or she is being nominated?*
- Yes
- No
Area(s) in which you feel this candidate has excelled:*
- Research
- Leadership
- Community service
- Volunteerism
- Teaching
Check all that apply.
Brief summary of achievements:*
300 words or less.
Upload Nominee's CV
Accepted file types: pdf, doc, docx, Max. file size: 31 MB.
Not required but you may choose to include.
Upload Letter of Recommendation
Accepted file types: pdf, doc, docx, Max. file size: 31 MB.
Not required but you may choose to include.
Upload References
Accepted file types: pdf, doc, docx, Max. file size: 31 MB.
Not required but you may choose to include.
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Email
This field is for validation purposes and should be left unchanged.

Contact Us

Carrie Circosta
Senior Director, Alumni Relations and Major Gifts
330-325-6664
alumnioffice@380cebbe0d.nxcli.io