Submit a Nomination

Nominations will be accepted through August 1, 2021!

Complete the nomination form below to officially nominate a deserving lay Alpha Sigma Nu member. For questions, please email info@alphasigmanu.org or call 414-288-7542.

Nominee's Name:

Nominee's Email:

Nominee's Address (If unknown, please at least include city, state) :

Street Address

Street Address Line 2

City

State / Province / Region

Postal / Zip Code

Country

Nominator's Name:

Nominator's Email:

Nominator's Phone:

Please describe your relationship to nominee:

Nominee Qualifications: In 500 words or less, please describe the nominee's qualifications for the Magis Award.

Nominee Bio

Please enter the word you see in the image below: