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Alumni Relations
Alumni Awards Nomination Form
Alumni Awards Nomination Form
Alumni Awards Nomination Form
Nominator Information
Name
(Required)
First
Last
Phone
(Required)
Email
(Required)
Nominee Information
Nominee Name
(Required)
First
Last
Nominee Maiden Name (if applicable)
Nominee Graduation Year
(Required)
Nominee Mailing Address
(Required)
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Nominee Email
Nominee Phone
Employment History
Please list the nominee’s present or most current employment first. Please check the box to add additional employment information. You may enter up to three employers. If submitting a resume below, the remaining items in this section can be left blank.
Submit a Resume
Accepted file types: doc, docx, rtf, pdf, Max. file size: 1 MB.
Employer
Title
Dates
Specific accomplishments, honors, awards while in this position
Do you have more employment history to enter?
(Required)
Yes
No
Employer #2
Title #2
Dates #2
Specific accomplishments, honors, awards while in this position #2
Would you like to list a third employer?
(Required)
Yes
No
Employer #3
Title #3
Dates #3
Specific accomplishments, honors, awards while in this position #3
Education History
Please list all college/universities attended, including Methodist University and any graduate or post-graduate institutions. If submitting a resume with education listed, the remaining items in this section can be left blank.
Submit a Resume with Education Listed
Accepted file types: doc, docx, rtf, pdf, Max. file size: 1 MB.
If you submitted a resume with education listed above, you do not need to submit it again here.
College or University
Years Attended
Major(s)
Degree Earned and Date
Do you have more education history to enter?
Yes
No
College or University #2
Years Attended #2
Major(s) #2
Degree Earned and Date #2
Do you have a third college or university to add?
Yes
No
College or University #3
Years Attended #3
Major(s) #3
Degree Earned and Date #3
Award Selection
Please select the award for which you are nominating the nominee.
I nominate the person listed below for the:
(Required)
Distinguished Alumni Award
– Outstanding career achievement and service of the highest order to their community
Outstanding Alumni Service Award
– Outstanding service and dedication to Methodist University Alumni Association
Outstanding Faculty Award
– Demonstrated a high level of accomplishment within his/her official duties to Methodist University
Outstanding Staff Award
– Demonstrated a high level of accomplishment within his/her official duties to Methodist University
Distinguished Young Alumni Award
– Must have graduated within the last 10 years. Outstanding voluntary or other public service on a local, state, national or global level. This should include service to Methodist University and participation in other clubs, service organizations, MUAA activities, or community involvement within the last 10 years
Distinguished Alumni Award
Distinguished Young Alumni Award
Outstanding Alumni Service Award
Outstanding Faculty Award
Outstanding Staff Award
Describe the nominee’s professional accomplishments (i.e. promotions, awards, acknowledgments):
Please describe the nominee’s professionalism and job performance as it relates to faculty, staff, students, and/or alumni:
How would you describe the nominee’s workplace relationships, interactions, and decision making?
How does the nominee contribute to a respectful, diverse, and collaborative work environment?
Please share any accomplishments specific to teaching and advising:
List current and previous voluntary service to their community:
List current and previous voluntary service to Methodist University:
List other honors, awards, and recognition the nominee has received:
What was the nominee’s engagement at Methodist University while a student?
Explain why this nominee should receive this award:
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Name
This field is for validation purposes and should be left unchanged.
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