Osmun Award Nomination Form

Name of Nominee:

Address of Nominee:

Recipient must be an alumni of Purdue University, Department of Entomology.

List all degrees recieved from the Department.

Recipient must have demonstrated high standards of professionalism in their lives.

Please describe how you feel the nominee meets this criteria.

Recipient must have established a career reputation of distinction, excelling either in the broad discipline of entomology or in some related field.

Note: Recipients may be professionals who have been employed in any aspects of academe, industry, government, or private or public enterprise. Please describe how the nominee has exhibited their career reputation.

Your Name:

Your Address:

Your Telephone Number:

Your E-mail: