Distinguished Award Nomination Form

California Campus Distinguished Awards
The true measure of a university's greatness can be found in the achievements of its alumni. Many California graduates have made exceptional contributions to their profession, community and/or the university. The California Alumni Association Distinguished Awards were established to recognize exceptional alumni and university friends. The Alumni Association and PennWest University are proud to honor outstanding alumni and friends of the California Campus.

Award Descriptions:

AWARD FOR PROFESSIONAL DISTINCTION: Awarded to members of the university family who have gained regional, state, national or international recognition in their professions.

AWARD FOR LOYALTY AND SERVICE: This award is presented to members of the university family who have given dedicated and loyal service to the university and its alumni.

THE YOUNG ALUMNI AWARD: This award is given to recent graduates (under 40) who have reached exceptional achievements in their professional and community life.

SERVICE TO THE COMMUNITY AWARD: Awarded to those who have earned recognition for their outstanding professional accomplishments and achievements while serving their communities or the nation.
Nominee's Name:

First NameLast NameClass Year (if applicable)
Nominee's Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Nominee's Phone

Area CodePhone Number
Nominee's Email*
example@example.com
Nominated for:

AWARD FOR PROFESSIONAL DISTINCTIONAWARD FOR LOYALTY AND SERVICEYOUNG ALUMNI AWARDSERVICE TO THE COMMUNITY AWARD
Nominated by:

First NameLast Name
Nominator's Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Nominator's Email:*
example@example.com
Nominator's Phone:

Area CodePhone Number
Please include your personal statement of support for the nominee:

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Nominee's Academic Information
Year(s) of Graduation
Academic Major
Degree(s) Received
Please enter any additional education and/or degrees earned for other institutions
Nominee's Business Information
Employer & Title
Phone Number

Area CodePhone Number
Nominee's Business Email
example@example.com
Please include any additional supportive information:

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Should be Empty:

Nominee's Academic Information

Nominee's Business Information