Submit your nomination for Madison House's Alumni of the Year!

This award recognizes an alum of Madison House and UVA who has made significant contributions in addressing the needs of his or her community, and furthering Madison House's mission of leadership, service and community. You are welcome to nominate yourself, and if you are unsure of the answers if nominating for someone else, please include as much information as possible to the best of your ability.

Please submit your nomination no later than April 16, 2017.

Name of Madison House Alumni of the Year Nominee *
Name of Madison House Alumni of the Year Nominee
Nominee's Phone Number, if available
Nominee's Phone Number, if available
Please describe the nominee’s current activities that you feel demonstrate this alum's commitment to service. How has this person made signification contributions in addressing the needs of his or her community, while furthering Madison House's mission of leadership, service and community? Please limit your response to 400 words.
Your Name *
Your Name
Your Phone Number
Your Phone Number