Alumni Awards

Submit Alumni Award Nominations

The University of Mississippi Medical Center has a long tradition of honoring distinguished and committed alumni who have shaped the world and strengthened our alumni and UMMC community.

The nomination process for the 2022 alumni awards has concluded. We welcome submissions for the 2023 awards.

* = Required Fields

Submitter Information

Submitted By*

Your Phone

() - ext.

Your Email*

Nominee Information

Name*

Award*

Is this nominee living or deceased?*

Address

City, State, Zip

City
State
Zip Code	-

Please provide a brief statement of why this nominee is deserving of the award.

Upload Supporting Documents (1 file only)

*.txt,*.doc,*.docx,*.xls,*.xlsx,*.pdf, *.gif,*.jpg,*.jpeg,*.bmp,*.png,*.tif,*.tiff

Nominee #2 Information

Name

Award

Is this nominee living or deceased?

Address

City, State, Zip

City
State
Zip Code	-

Please provide a brief statement of why this nominee is deserving of the award.

Upload Supporting Documents (1 file only)

*.txt,*.doc,*.docx,*.xls,*.xlsx,*.pdf, *.gif,*.jpg,*.jpeg,*.bmp,*.png,*.tif,*.tiff

Nominee #3 Information

Name

Award

Is this nominee living or deceased?

Address

City, State, Zip

City
State
Zip Code	-

Please provide a brief statement of why this nominee is deserving of the award.

Upload Supporting Documents (1 file only)

*.txt,*.doc,*.docx,*.xls,*.xlsx,*.pdf, *.gif,*.jpg,*.jpeg,*.bmp,*.png,*.tif,*.tiff

Nominee #4 Information

Name

Award

Is this nominee living or deceased?

Address

City, State, Zip

City
State
Zip Code	-

Please provide a brief statement of why this nominee is deserving of the award.

Upload Supporting Documents (1 file only)

*.txt,*.doc,*.docx,*.xls,*.xlsx,*.pdf, *.gif,*.jpg,*.jpeg,*.bmp,*.png,*.tif,*.tiff