HONORARY DEGREE NOMINATION FORM 1. Name of nominee: 2. Place and date of birth: 3. Position: 4. Academic degree(s) earned, granting institution(s) and date(s): 5. Honorary degree(s), granting institution(s) and date(s): 6. Professional experiences: 7. Other activities or experience relevant to nomination: 8. Important publications: 9. Demonstration of humane, social or community achievements which merit recognition1: 1 Documentation must be specific and proved significant evidence of such achievements. For example, published biographies, news articles, letters of commendation or tribute, portfolios. Updated January 2010 2 Ohio University Honorary Degree Nomination Form 10. Significant honors attained: 11. Documented extraordinary achievements of contributions2: 12. Relevance to Ohio University: 13. Why is the nominee deserving of an Ohio University honorary degree and why is such a degree an appropriate honor? Nominator's Name: Address: Phone Number: Please return completed form to: Michael Carrera School of Music Glidden Hall 578 Email: carrera@ohio.edu 2 Documentation must be specific and proved significant evidence of such achievements. For example, published biographies, news articles, letters of commendation or tribute, portfolios. Updated January 2010