Black Rebel Spotlight Nomination Form

We are excited to recognize outstanding Black UNLV alumni who are making a meaningful impact in their communities and professions! The selected nominee will be featured in our April newsletter and on social media.

📅 Nomination Deadline: March 28, 2025

📌 Nomination Criteria:
✔ Must be a Black UNLV alum
✔ Demonstrates leadership, service, or positive impact in their field or community
✔ Serves as a role model for others

Sign in to Google to save your progress. Learn more
First Name *
Last Name *
Graduation Year(s) & Degree(s) Earned *
Current Profession/Industry *
Business/Organization (if applicable)
Email Address *
Phone Number *
Why do you believe this alum should be recognized? *
How has this individual made an impact in their field or community? *
Share any leadership roles, community involvement, or achievements they’ve been a part of. *
Any additional comments or information? *
Thank you for your nomination! Selected alumni will be notified before the April newsletter is released.
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of University of Nevada, Las Vegas.

Does this form look suspicious? Report

Google Forms