UK Libraries Medallion Award Nomination Form

THE UNIVERSITY OF KENTUCKY LIBRARIES MEDALLION FOR INTELLECTUAL ACHIEVEMENT
Click here for additional information on Medallion Award
Nominee Information
Nominee Name:*

First NameLast Name
Place of residency (in Kentucky):*
Number of years:*
Current address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Education:*
Profession/vocation:*
Please note the following requirements and recommendations for submission:
- A Statement of Nomination in favor of your candidate is required (limited to two pages)
- A Curriculum Vitae or Resume is recommended, along with any documents you may deem supportive of your nominee's candidacy.
- A Statement from a Colleague is recommended to provide context for the nominee's acheivement, limited to two pages.
Statement of Nomination (required):*

Please upload your Statement of Nomination (two pages or less) here.
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Curriculum Vitae/Resume (recommended but not required):

Please upload CV or Resume here.
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Statement from a Colleague (recommended but not required):

Please upload statement (two pages or less) here.
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Other documents in support of nomination:

Please upload documents here.
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Link to nominee's biography, Wikipedia page, etc.
If more than one link, please enter on separate lines
Nominator Information
Nominator Name:*

First NameLast Name
Nominator Position:*
Nominator Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Nominator Email:*
example@example.com
Nominator Telephone:*
Please enter a valid phone number.
As part of the Medallion Award selection process, nominators are invited to attend the upcoming UK Libraries National Advisory Board fall meeting in October to briefly speak on behalf of their nominee before the voting session. This is a valuable opportunity to share personal insights and highlight the nominee’s contributions in your own words. If you wish to participate, please indicate your interest below and we will follow up with details regarding the board meeting.*

Yes, I'm interested in speaking on behalf of my nomineeNo, I'm not interested in speaking
Nominations must be received by Friday, October 3, 2025.

If you have any questions, please contact David Timoney, Institutional Philanthropy Officer Sr., at davidtimoney@uky.edu or 859-218-7317.
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THE UNIVERSITY OF KENTUCKY LIBRARIES MEDALLION FOR INTELLECTUAL ACHIEVEMENT