2022 Distinguished Alumnus Award Nomination Form

Please fill in all the fields in the form below and click the Submit button. The deadline to submit your nomination is March 12, 2021. If you have any question about this form, please contact Vilma Castellano at castellanov@aascu.org

Distinguished Alumnus Award Nominee
	Prefix:  (Mr., Mrs., Ms., Dr. ...)
	First Name:
	Last Name:
	Nationally/Internationally Known (profession/distinction):
	AASCU Member Institution Nominee Graduated From:
	Year Nominee Graduated:
	Degree: (List full name of degree, e.g. Bachelor of Arts)
Nominating President/Chancellor
	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 you believe make the candidate worthy of consideration. Supplemental information such as news releases, vitae, etc. may be submitted to Vilma Castellano at castellanov@aascu.org, in addition to the summary, but they are not a substitute for summary.