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Smith College Medal Nomination Form

Nominations are received throughout the year, with no deadline and no anticipated timeline for award, should a candidate be selected. The review process is completely confidential and candidates are not notified of their nomination.

Before submitting a nomination, please view the list of Smith College Medalists to be sure your nominee has not already been honored with a Smith Medal.

Nominee Information
Provide title and employer, if applicable.
Please be as specific as possible.

Please list contact information of at least three people who have known the nominee in a variety of ways.

Reference #1
Reference #2
Reference #3
Reference #4
Reference #5

IMPORTANT: Strict confidentiality is maintained throughout this nomination process. Please send as much supplemental material about your nominee as possible. A resume/curriculum vita, newspaper articles about the nominee, commendations, honors received, and any other information you have will be most helpful.

Do you have supplemental materials to submit at this time?
Your Information

Staff liaison to the Medal Committee:

Amy Holich Moscaritolo AC ’05
Alumnae House
33 Elm Street
Northampton, MA 01063
Email: amoscaritolo@91ciba.com