3MT Nomination

Name of Nominee:

Nominee's Email:

Nominee's Tel.:

Nominee's Address:

City:
State Abbreviation: ---AKALARAZCACOCTDCDEFLGAHIIAIDILINKSKYLAMAMDMEMIMNMOMSMTNCNDNENHNJNMNVNYOHOKORPARISCSDTNTXUTVAVTWAWIWVWY
Zip:

Presentation Title

Please upload a PDF version of the of the presentation slide. If you do not have this file yet, it can also be emailed to csgs.3mt@gmail.com by Jan 31, 2020 (widescreen):

Please upload the student's signed Photo Release Form. If you do not have this file, it can also be emailed to csgs.3mt@gmail.com at a later date (widescreen):

Name of Nominating Dean: (required)

Title or Position: (required)

Institution: (required)

Dean's Email: (required)

Dean's Tel.: (required)