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 13, 2018.

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
How have they continued the Madison House mission of addressing the needs of their community? Please limit your response to 750 words. If you are unsure of the answers if nominating for someone else, please include as much information as possible and to the best of your ability. We will be following up with finalists by email to obtain additional information about their volunteer work since Madison House and to learn more about specifics about their accomplishments. Thank you for your time!
Your Name *
Your Name
Your Phone Number
Your Phone Number