Park University Alumni Awards Nomination Form

Park University Alumni Awards Nomination Form

2025 Alumni Awards Celebration - Friday, September 26, 2025
Instructions

Please complete all sections of this form to nominate a deserving individual for the Park University Alumni Awards. Supporting documentation is strongly encouraged. Nominations are accepted year-round but to be considered for the 2025 awards cycle, submissions must be received by June 13, 2025.
Section 1: Nominator Information

**Self-nominations will not be accepted. However, if you are interested in being considered for a future award, we encourage you to contact alumni@park.edu so that we may assist you in connecting with a nominator.
Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Affiliation to Park University*

Alumnus/aFacultyStaffStudentFriend
Section 2: Nominee Information

**Please put N/A if it is not applicable**
Name*

First NameLast Name
Business Name *
Class Year *
Degree(s) Earned*
Major(s)*
Current Occupation/Title*
Employer/Organization*
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Section 3: Award Category
Please select the award for which you are nominating this individual:*

Distinguished Alumni AwardTorchlighter AwardMarlowe Sherwood Memorial Service AwardPromising Young Professional AwardTipton AwardPark Proud Business Leadership AwardPhilanthropic Leadership AwardWall of Honor Award
Section 4: Nomination Statement
In the space below or as an attachment, explain why this individual deserves the selected award. Please reference the specific award criteria by providing examples of achievements, contributions, and impact. *
Attach additional pages as needed.

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Section 5: Supporting Materials
You may attach up to three supporting documents to strengthen your nomination. Examples include resume or curriculum vitae, letters of support from colleagues, peers, or community members, news articles, publications, or media featuring the nominee and awards or honors previously received.

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Section 6: Acknowledgment
By submitting this nomination, I affirm that the information provided is accurate to the best of my knowledge. I understand that the selection committee may contact me for further information or clarification.
Name*

First NameLast Name
Date*

MonthDayYear
Date
Signature*

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Park University Alumni Awards Nomination Form

Instructions

Section 1: Nominator Information

Section 2: Nominee Information

Section 3: Award Category

Section 4: Nomination Statement

Section 5: Supporting Materials

Section 6: Acknowledgment