Kristen Hanson Award Nomination

Name of Professor submitting nomination:

How do you know the student:

Name of student being nominated

First Last

Email of student being nominated

Information on student’s accomplishment in courses/ lab work that indicate a passion for science:

Description of student’s outside interests and contribution to the UCLA or broader community:

Description of student’s leadership qualities and/or originality:

Any other information as to why you think the student is particularly deserving of the award: