Alumni Awards Nomination Form

Alumni Awards Nomination Form
Each year, the University of Pikeville Alumni Association is proud to recognize alumni and friends of the university by presenting five prestigious awards including Distinguished Alumni, Rising Young Alumni, Honorary Alumni, Gary Thrash Outstanding Ambassador, and Volunteer of the Year.

To make a nomination for any or all of the awards, please note the criteria listed for each and submit the form.
Please choose the categories in which you would like to nominate.*

Distinguished Alumni AwardRising Young Alumni AwardHonorary Alumni AwardGary Thrash Outstanding Ambassador AwardVolunteer of the Year Award
Distinguished Alumni Award
The Distinguished Alumni Award is presented annually to an alumnus/alumna of the university. He/she must have graduated at least seven years prior to the nomination year. Nomination information should include specific activities, awards and career growth that demonstrate 1) professional achievement and 2) contributions made for the betterment of society, both of which bring honor and distinction to the University of Pikeville.
Nominee Name*

First NameLast Name
Nominee Phone Number*
Nominee Email Address
example@example.com
Why are you nominating this person for the Distinguished Alumni Award ? Please list the nominee's relevant achievements and contributions.
Rising Young Alumni Award
The Rising Young Alumni Award is presented annually to an alumnus/alumna who is 40-years-old or younger. Basis for selection includes 1) career advancement, 2) service to others, 3) commitment to the university, 4) strong personal character, and 5) proven leadership in his or her profession.
Nominee Name

First NameLast Name
Nominee Phone Number
Nominee Email Address
example@example.com
Why are you nominating this person for Rising Young Alumni Award? Please list the nominee's relevant achievements and contributions.
Honorary Alumni Award
The Honorary Alumni Award is presented only when there is clearly a deserving candidate and is normally limited to one recipient each year. Individual(s) must be a non-alumnus/alumna of UPIKE and demonstrate 1) deep engagement with the university and, 2) service in the spirit of the university that is above and beyond the normal responsibilities of the individual. Honorary alumni have all the rights and privileges of traditional alumni of the university and become honorary members of the class graduating in the spring of the academic year in which the award is given.
Nominee Name

First NameLast Name
Nominee Phone Number
Nominee Email Address
example@example.com
Why are you nominating this person for the Honorary Alumni Award? Please list the nominee's relevant achievements and contributions.
Gary Thrash Outstanding Ambassador Award
The Gary Thrash Outstanding Ambassador Award is presented annually in named recognition of alumnus and longtime Alumni Association Board of Directors member Gary Thrash, for his commitment and dedication to the university and its students. The award is presented to an alumnus/alumna whose service to the University and the alumni association exemplifies Thrash’s dedication to the mission of the University of Pikeville.
Nominee Name

First NameLast Name
Nominee Phone Number
Nominee Email Address
example@example.com
Why are you nominating this person for the Gary Thrash Outstanding Ambassador Award? Please list the nominee's relevant achievements and contributions.
Volunteer of the Year Award
The Volunteer of the Year award is presented in recognition of servant leadership, outstanding volunteerism and selfless commitment to the University of Pikeville.
Nominee Name

First NameLast Name
Nominee Phone Number
Nominee Email Address
example@example.com
Why are you nominating this person for the Volunteer of the Year award? Please list the nominee's relevant achievements and contributions.
Nominator:

Person submitting the nomination
Nominator Name*

First NameLast Name
E-mail*
example@example.com
Phone Number
For more information, contact Lisa Blackburn - Director of Alumni Relations, LisaBlackburn@upike.edu, (606) 218-5296
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Alumni Awards Nomination Form

Distinguished Alumni Award

Rising Young Alumni Award

Honorary Alumni Award

Gary Thrash Outstanding Ambassador Award

Volunteer of the Year Award

Nominator: