Distinguished Alumni Nomination Form

Who are the most distinguished members of your class? This award is presented to an Alumni/us who has graduated more than twenty years ago. Past Candidates have been chosen for academic achievement, research initiatives, humanitarian efforts, outstanding service to their community, dedicated work for the Association/Foundation, distinguished teaching and/or outstanding work in industry and private practice.
Please submit curriculum vitae and any additional information about nominee to medalum@upstate.edu.
Your Information (optional)

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Upstate Medical Alumni Foundation

Setnor Academic Building #1510
750 East Adams Street
Syracuse, NY 13210

Phone: (315) 464-4361
Fax: (315) 464-4360
Email: medalum@upstate.edu

Alumni Supporting Future Alumni