Colorado School of Mines
Awards Committee
NOMINATION FORM
Full name of nominee:___________________________________________
Contact information for nominee:
Address:
________________________________________
________________________________________
Phone:
________________
Fax: _________________
e-mail:
____________________________
Nominated by:_________________________________________________
____________________
(phone)
Nominated for:
_________________________
(e-mail)
Honorary degree
Mines Medal
Distinguished Achievement Medal
Brown Medal
Note: Descriptions of each award are posted on the CSM web site at:
http://www.mines.edu/admin/president/awarddescriptions.pdf
Please attach a brief narrative that includes the reason for the nomination as it relates to
the criteria for the award. Also, please attach relevant background information, such as a
curriculum vitae and/or biographical sketch.
Nominations should be sent to the President’s Office and are accepted at any point
throughout the year.