Award Committee Volunteer Form 2026-27

Award Committee Volunteer Form

2026-27
Thank you for showing interest in serving on a Phi Kappa Phi Award Selection Committee. The term will run Aug. 2026-Aug. 2027. For a full list of Award Committee descriptions, please click here.
Name*

First NameLast Name
Phone Number*

Area CodePhone Number
E-mail*
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Employer*
If retired, please include your most recent full-time position. If a student, indicate degree sought and anticipated graduation date.
Job Title*
If faculty, please indicate rank and field.
Phi Kappa Phi Chapter*
Member ID
Year of Initiation*
See committee descriptions here.
Select your 1st Choice*
Select your 2nd Choice*
Select your 3rd Choice*
Award committees occasionally require alternate reviewers due to unforeseen circumstances. Would you be willing and available to serve as a last-minute replacement should a committee member be unable to complete their assignment?*

YesNo
Please explain why you are interested in serving on the committees selected above. Be sure to include specific and relevant professional experience. *
Have you previously served on a national Phi Kappa Phi award committee? If yes, please describe.*
Should be Empty: