Hall of Fame Nomination Form

NOMINEE INFORMATION
NOMINEE CONTACT INFORMATION
Mailing Address
NOMINATED BY

Complete online form by June 15, 2025. If you would like to submit an additional letter of nomination, biographical data, or any other supporting documentation (no more than 3 pages of supporting documentation), please email to Katie at kkelley@ulm.edu or mail to the address below by June 15, 2025.

Attn: Katie Scogin
ULM College of Pharmacy
1800 Bienville Dr.
Monroe, LA 71201

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