Critic Circle Registration Submission Form

2008 CRITIC CIRCLE
NOMINATION FORM

Comments or Questions Student(s) nominated for this year's institute:
Name of Nominator:
Address	Mailing Address
City
State / Zip
Your Phone Number	Include Area Code
Your Email
Institution
Institution Address	If different than address above
City / State/ Zip
~

Nominee 1 Name:
His / Her Email
Her / His Phone	Include Area Code
Something about the Nominee

Nominee 2 Name:
His / Her Email
Her / His Phone	Include Area Code
Something about the Nominee

Nominee 3 Name:
His / Her Email
Her / His Phone	Include Area Code
Something about the Nominee

Nominee 4 Name:
His / Her Email
Her / His Phone	Include Area Code
Something about the Nominee

Nominee 5 Name:
His / Her Email
Her / His Phone	Include Area Code
Something about the Nominee Contact Deb Currier deb.currier@wwu.edu

Complete a new form if you have additional students to nominate