EmailMe Form - Wartburg Medal Nomination Form

Nominator Name *

First Last

Nominator Email *

Date *

MM / DD / YYYY

Your relationship to the nominee *

Nominee *

Profession or occupation *

Connections to Wartburg *

Nomination Evaluation

Please answer the following prompts. Nominations will be evaluated on the quality of the responses.

1. Provide examples of the nominee’s long-time service to Wartburg College. *

2. Share significant involvement and service by the nominee to the broader community and how the nominee serves as a role model to others. *

3. Describe the nominee’s commitment to the College’s mission, quality, and character. *

4. Explain how the nominee exemplifies the four pillars in the Wartburg mission: leadership, service, faith, and learning. *

Additional Supporting Materials

Please upload supporting materials here (resume, vitae, news articles, website links, published work, etc.) that further describe the nominee’s distinctive contributions or characteristics. These items are optional, but highly encouraged.

Resume/Vitae

News Articles

Published Work

Other

Website LInks