TMAA OUTSTANDING ALUMNUS AWARD & LIFETIME ACHIEVEMENT AWARD NOMINATION FORM

NOMINATOR INFORMATION

Before submitting a nomination for the Outstanding Alumnus Award, please check this list of past recipients to make sure your nominee has not already received the award. Alumni can only receive any individual TMAA award once.

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:

Outstanding Alumnus Award

(alum must be at least 10 years past graduation)

Lifetime Achievement Award

(2026 50th reunion celebrants only/alumni from the class of 1976

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