TMAA DISTINGUISHED SERVICE AWARD, CD TAYLOR AWARD, AND YOUNG ALUMNI LEADERSHIP AWARD NOMINATION FORM

NOMINATOR INFORMATION

First Name

Last Name

Confirm email

Daytime Phone Number

Relationship to Tulane

Alumnus/Alumna

Faculty/Staff

NOMINEE INFORMATION

First Name

Last Name

Nominee Tulane School of Medicine Graduation Year (if known):

Award Choice:

Distinguished Service Award

(2026 20th, 25th, 30th, 35th, 40th, 45th reunion celebrants only / alumni from the classes of 1981, 1986, 1991, 1996, 2001, 2006)

C. D. Taylor Award

(2026 20th, 25th, 30th, 35th, 40th, 45th reunion celebrants only / alumni from the classes of 1981, 1986, 1991, 1996, 2001, 2006)

Young Alumni Leadership Award

(2026 10th & 15th reunion celebrants only / alumni from the classes of 2011 & 2016)

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