Medicine Distinguished Alumni Award Nomination Form | Texas Tech University Health Sciences Center
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School of Medicine

2022 - 2023 Distinguished Alumni Nomination Form

Nominations are now being accepted through June 2, 2023.

Hard Copy Nomination Form

To request a hard copy nomination form to return by mail, please contact:
Danielle Sork
806.743.6643

Hard Copy Nomination Mailing Address

Office of Alumni Relations
3601 Fourth St. STOP 6236
Lubbock, Texas 79430-6236

Electronic Form

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Additional Documentation

Additional documentation may be emailed to Danielle Sork