2014 Distinguished Alumnus Award Nomination Form
Please fill in all the fields in the form below and click
the Submit Nomination button to send your nomination to AASCU. If you have
any question about this form, please contact Shirley Dockett at
docketts@aascu.org.
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Distinguished Alumnus Award Nominee
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Prefix:
(Mr., Mrs., Ms., Dr. ...)
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First Name:
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Last Name:
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Nationally/Internationally Known (profession/distinction):
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AASCU Member Institution Granting Degree:
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Year Nominee Graduated:
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Degree: (List full name of degree, e.g. Bachelor of Arts)
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Nominating President/Chancellor of AASCU Member Institution
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Prefix:
(Mr., Mrs., Ms., Dr., ...)
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First Name:
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Last Name:
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Institution:
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Brief Description of Accomplishments/Highlights of Nominee's
Career
(limit 200 words*)
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*Brief description/summary of candidate's career is required
for the report to the AASCU Board of Directors. Please indicate specific accomplishments
which you believe make the candidate worthy of consideration. Supplemental
information such as news releases, vitae, etc. may be submitted to Shirley Dockett
at docketts@aascu.org, in addition to the
summary, but they are not a substitute for summary.
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