Smith College Medal Nomination Form

The Smith College Medal is awarded to those alums who, in the judgment of the Medal Committee and the Board of Trustees, exemplify in their lives and work the true purpose of a liberal arts education. Nominees are sought who:

Have or have had deep local / national and/or global impact
Are viewed as change-makers
Are innovative and inspirational
Are leaders whose work will resonate with today’s students

Nominations are received from anyone on a rolling basis throughout the year. The review process is completely confidential, and candidates are not notified of their nomination . Awards are presented once a year on campus.

Before submitting a nomination, please view the list of Smith College Medalists to be sure your nominee has not already been honored with a Smith Medal.

Nominee Information

First name

Last name

Undergraduate name

Class year

Street address (if known)

City

State/Province/Region

Zip/Postal code

Country

Nominee"s email address

Nominee’s LinkedIn profile

Nominee’s Profession/Avocation

Provide title and employer, if applicable.

Please state why you think this alum should be considered for the Smith College Medal. How have they "made a difference?" Please describe:

Please be as specific as possible.

Are they a role model for current undergraduates? Please describe:

Please be as specific as possible.

Please reflect on how the alum is making or has made a deep local / national and/or global Are they a role model for current undergraduates?

Please be as specific as possible.

Please reflect on how the alum is a change-maker and in what way

Please be as specific as possible.

Please reflect on how the alum is innovative and inspirational

Please be as specific as possible.

Please reflect on how the alum is a leader who will resonate with today’s students

Please be as specific as possible.

References

Please list contact information of people who have known the nominee in a variety of ways. While references are not required, they greatly assist the Medal Committee’s review process.

Reference #1

Reference #1: Name

Reference #1: Email

Reference #1: Phone

Reference #2

Reference #2: Name

Reference #2: Email

Reference #2: Phone

Reference #3

Reference #3: Name

Reference #3: Email

Reference #3: Phone

Reference #4

Reference #4: Name

Reference #4: Email

Reference #4: Phone

Reference #5

Reference #5: Name

Reference #5: Email

Reference #5: Phone

IMPORTANT: Strict confidentiality is maintained throughout this nomination process. Please send as much supplemental material about your nominee as possible. A resume/curriculum vita, newspaper articles about the nominee, commendations, honors received, and any other information you have will be most helpful.

Supporting materials / links

Please send as much supplemental material about your nominee as possible. A resume/curriculum vitae, newspaper and social media articles about the nominee, commendations, honors received, and any other information you have will be most helpful. A PDF with hyperlinks is very helpful.

Do you have supplemental materials to submit at this time?

Yes

No

Please provide links or upload files below.

File

One file only.
2 MB limit.
Allowed types: gif, jpg, jpeg, png, txt, pdf, doc, docx, xls, xlsx, mov, mp3, wav, zip.

File

One file only.
2 MB limit.
Allowed types: gif, jpg, jpeg, png, txt, pdf, doc, docx, xls, xlsx, mov, mp3, wav, zip.

File

One file only.
2 MB limit.
Allowed types: gif, jpg, jpeg, png, txt, pdf, doc, docx, xls, xlsx, mov, mp3, wav, zip.

File

One file only.
2 MB limit.
Allowed types: gif, jpg, jpeg, png, txt, pdf, doc, docx, xls, xlsx, mov, mp3, wav, zip.

File

One file only.
2 MB limit.
Allowed types: gif, jpg, jpeg, png, txt, pdf, doc, docx, xls, xlsx, mov, mp3, wav, zip.

Website

Website

Website

Website

Website

Your Information

First name

Last name

Undergraduate name

Class year

Smith Affiliation

Email address

Preferred phone

City

State/Province/Region

Country

Interim Staff liaison to the Medal Committee:

Marissa Hoechstetter
Alumnae Relations and Development
Email: mhoechstetter@smith.edu