Distinguished Alumni Award Nomination

Name:*

First NameLast Name

Address:*

Street Address

Street Address Line 2

CityState

Zip Code

Phone:*

Format: (000) 000-0000.

Email:*

Degree(s) received:*

(e.g., BS in Biology)

Graduation year(s):*

Present occupation:*

Include company, title, and address; if retired, please state approximate date of retirement.

Personal and professional achievements:*

Please list and describe the nominee’s key accomplishments in their profession or field. Consider achievements such as major career milestones, peer recognition, leadership in professional organizations, consistently high-quality or innovative work, industry awards, publications, and any national or international honors related to their professional contributions.

How has the nominee’s work transformed, advanced, or significantly influenced their profession or field on a broad scale (regional, national, or global)?*

In what ways has the nominee demonstrated sustained, high-level leadership and service that has created lasting, positive change in their community or society?*

How has the nominee shown enduring dedication to AU through service, leadership, or support that has strengthened the institution’s mission and impact?*

Why is this alumnus/a deserving of the award now? For example, is there significant relevance to a current initiative on campus or world events?*

Nominators are encouraged to provide optional information about the nominee, such as letters of support; relevant recognitions, honors, awards, or accomplishments; and resumes or CVs.

Acceptable document upload file types: DOC, DOCX, JPEG, PDF, PNG. Please include no more than two documents.