National Alumni Association Bruté Nomination

The Simon Brute Award is presented by the Mount St. Mary’s National Alumni Association to a graduate who has rendered outstanding and meritorious service to the Church, state, nation and our fellow citizens. The medal is presented at the traditional Alumni Reunion Banquet.

It is the highest honor awarded by the Association to a Mountaineer.

Please provide, to the best of your ability, the following information to nominate an alumna/us.

Keep in mind:

All fields marked with red asterisk (*) are required.

I am filling out this form because

I would like to Nominate Myself

I would like to Nominate Someone

Nominee Information

First Name

Last Name

Class Year

Birthdate

Mailing Address

Country

Street

City

Region

Postal Code

Email Address

Phone:

Major(s)

Degree(s)

Current or Last Occupation Title

Business Name

Does the nominee have a spouse?

Yes

Spouse Name

Is the spouse a Mount Alum?

Yes

What is the Spouse's Class Year?

Please list all Memberships along with the position, organization and dates.

Please list all Awards along with the organization and dates.

Please list all Publications along with the titles, publications and dates.

Please list Military Service along with a description and dates.

Please list Volunteer Activities along with the organizations and dates.

Please provide your reasons for nomination. Include specific examples of the nominee’s contributions as related to the award. Please limit your comments to approximately 500 words.

Your Information

First Name

Last Name

Birthdate

Connection to the Mount

Class Year

Mailing Address

Country

Street

City

Region

Postal Code

Email Address

Phone:

Your Information

First Name

Last Name

Class Year

Birthdate

Mailing Address

Country

Street

City

Region

Postal Code

Email Address

Phone:

Major(s)

Degree(s)

Current or Last Occupation Title

Business Name

Does the you have a spouse?

Yes

Spouse Name

Is the your a Mount Alum?

Yes

What is the Spouse's Class Year?

Please list all Memberships along with the position, organization and dates.

Please list all Awards along with the organization and dates.

Please list all Publications along with the titles, publications and dates.

Please list Military Service along with a description and dates.

Please list Volunteer Activities along with the organizations and dates.

Please provide your reasons for nomination. Include specific examples of the nominee’s contributions as related to the award. Please limit your comments to approximately 500 words.