Online Nomination Form

Instruction: Please type in all the requested information below and when finished click the 'Submit' button at the bottom of the page.

Any information submitted will be treated as Strictly Confidential.

This form should be submitted no later than Friday, 2 September 2016.

Please note that, following established practice, the names of the proposers of nominees will not be disclosed to the Honorary Degrees Committee.

Please Complete All Sections


1. Name of Nominee:

2. Brief Biographical Details:

3. Reasons for Nomination:

4. Has the nominee any connection, past or present, with either Northern Ireland or Queen's University (Please specify):

5. Please indicate if there is a particular category in which the nominee has achieved distinction/given significant service:

Business and Commerce:
The Arts:
Public Service:
Service to the Community:
Other: (Please specify)
6. What specific benefits do you feel that the ward of an honorary degree to this individual would bring to the University?:

7. Nominated by: (Please state full name)

8. Email address:

9. Faculty/Professional Services Directorate (if applicable):

10. Date: i.e. dd/mm/yy

Now click the 'Submit' button to forward your information to the Registrar's Office