Mario Savio Nomination Form

Mario Savio Student Activist Award Nomination Form

Contact information for Yourself

 

Contact Information for your Nominee

 

Nomination

 

Reference

 

Verification

Supplemental Material

We welcome, but do not require, any additional materials you wish to submit, such academic work, articles, CDs, DVDs, on-line websites or material by or about the nominee and his or her work.

Questions? Email us at aclu@sonic.net
or call  (707) 765-5005

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