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?
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, on which committees did you serve?
Should be Empty: