Requesting an Award Certificate

After the selection of a student for this award, please complete the form below.  Upon receipt and approval, Dr. Dave Keehn will process your request and email you a PDF certificate. It is best to print this award on certificate paper and frame it for your student. Your school’s print shop probably has such paper or you can pick-up a small package of certificate paper at any local office supply store. Here is a sample of certificate paper.

    AYME member's name (required)

    Email to whom the certificate should be sent (required)

    Degree program the student is completing (required)

    Student's Name as it is to appear on the certificate (required)

    Name of award granting institution as it should appear on the certificate (required)

    Certificate signers name as it should appear on the certificate (usually the department chair) (required)

    Name of department that will appear under the signer's name (required)

    Date of the award ceremony (required)

    Additional information