Alumni of Distinction Nomination form

NOMINEE INFORMATION

We will talk to the nominator before reaching out to the nominee if they are successful in the selection process.

Nominee first and last name*

Nominee email*

Enter Email Confirm Email

Nominee home phone*

Nominee Mobile

Which institution did the nominee attend?*

Campion High School
Campion at the University of Regina
both

Briefly tell us why you think your nominee should be an Alumnus of Distinction*

NOMINATOR INFORMATION

You may be contacted for more detailed information about your nominee during the selection process.

Nominator first and last name*

Nominator Email*

Enter Email Confirm Email

Nominator Home phone*

Nominator Mobile

COMPLETE & SUBMIT

Be sure to review all the information you have provided in this form to ensure accuracy before clicking submit. If you have any questions, reach out to Campion Alumni Relations at 306-586-4242 or campion.alumni@uregina.ca

Alumni of Distinction Nomination Form

NOMINEE INFORMATION

NOMINATOR INFORMATION

COMPLETE & SUBMIT

People

Essentials

Campus