UIC Shareholder Award Nomination Form

Deadline: 5:00pm AKDT, Wednesday, February 15, 2023

Please be detailed, and specific, and cite examples of the nominee’s efforts that support the respective award category that he or she is being nominated for. Attach additional sheets if necessary.

Individual submitting the nomination form

Your Full Name *

Your Phone Number *

Your Email

Nominee information

Nominee's Full Name *

Nominee's Phone

Nominee's Email

UIC Shareholder Award Categories *

Describe the nominee’s accomplishments and experiences relevant to the award category including other information that supports the award description. Please be detailed and cite specific examples.* *

Describe activities that demonstrate leadership qualities and dedication to community involvement and perpetuating Alaska Native culture and heritage.*

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UIC Shareholder Award Nomination Form

Deadline: 5:00pm AKDT, Wednesday, February 15, 2023

Individual submitting the nomination form

Nominee information

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