2016 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.

Distinguished Alumnus Award Nominee

       Prefix: 
(Mr., Mrs., Ms., Dr. ...)

First Name: 
   

Last Name: 
 

Nationally/Internationally Known (profession/distinction):
 

AASCU Member Institution Granting Degree:
 

Year Nominee Graduated:
 

Degree: (List full name of degree, e.g. Bachelor of Arts)
 

Nominating President/Chancellor of AASCU Member Institution

Prefix:  
(Mr., Mrs., Ms., Dr., ...)

First Name: 
 

Last Name: 
 

Email: 
 

Institution:   
 

Brief Description of Accomplishments/Highlights of Nominee's Career
(limit 200 words*)


 

*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.


CONTACT US