Fillable 18- Top Dog - Distinguished Alumni Award Nomination (California State University, Fresno)

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18- Top Dog - Distinguished Alumni Award Nomination (California State University, Fresno)

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2625 E. Matoian Way SH124, Fresno, CA 93740 • Ph: 559.278.ALUM • Fax: 559.278.6790 1
Distinguished Alumni Award
The Distinguished Alumni Award is the highest honor given to an alumna/us of the university. The university president and
the Fresno State Alumni Association present the award. The award is based on scholarship, leadership and service to the
university, the San Joaquin Valley, the State of California and beyond. It has been established to provide special recognition
to an individual who has distinguished them self through outstanding achievement during their post-collegiate career.
NOMINATION CRITERIA
1. Each school/college, the Division of Student Affairs and Enrollment Management, Graduate Studies, Library, and
Athletics, will receive copies of all alumni nominated from their area, as well as nominations for the Distinguished
Alumna/us and Arthur Safstrom Service Award. The school/college or area will review and submit the names of its top
three candidates (in unranked order) for each award to the Fresno State Alumni Association by the end of March.
2. The Top Dog Alumni Award Selection Committee will meet and review all nominations. The Committee shall have the
discretion to accept or reject any of the candidates in each area.
3. The Executive Director of the Fresno State Alumni Association will notify the winners of the awards.
4. The Distinguished Alumni Award recipient will be honored at the Top Dog Alumni Awards Gala, hosted by the Fresno
State Alumni Association. The recipient will also be hosted in the President’s skybox during a home football game, and
will be invited by the president of the university to return to campus to share their expertise with students, faculty, staff
and administrators.
SELECTION PROCESS
Nominees will have made a signicant
contribution to Fresno State, the San
Joaquin Valley, and/or the State of
California.
Nominees* must have graduated with at least a bachelor's degree
from Fresno State.
* Current Fresno State employees must be nominated for reasons
outside of their actual job description.
Nominees must have received national
or international recognition.
The Top Dog Alumni Awards Selection Committee may nominate
an existing nominee from the Outstanding Alumni Award from any
school or division to be a part of the Distinguished Alumni Award
pool for consideration for the Distinguished Alumni Award. Such
nomination will take place during the course of business of the
Award Selection Committee meeting.
The recipient or a family member must
be able to attend the awards ceremony.
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2625 E. Matoian Way SH124, Fresno, CA 93740 • Ph: 559.278.ALUM • Fax: 559.278.6790 2
Distinguished Alumni Award
SUBMISSION REQUIREMENTS
Submit the information below with the nomination form:
1. Complete all questions on the following pages.
2. Biography or professional resume and any letters of reference for the nominee to this form (must be no less than one
page, and no more than three pages in length).
3. Attachments may not be used in lieu of answering nomination questions.
Submission deadline:
1. All nominations will be reviewed to ensure they are complete. Incomplete nominations will be sent back to the
nominator for resubmission.
2. Please submit your nomination by Thursday, March 15, 2018 at 4:00 P.M.
3. For additional information, please call 559.278.ALUM.
Submit your nomination to the Fresno State Alumni Association
By Email: mschulz@csufresno.edu
By Mail: 2625 E Matoian Way SH124, Fresno, CA 93740
By Fax: 559.278.6790
2625 E. Matoian Way SH124, Fresno, CA 93740 • Ph: 559.278.ALUM • Fax: 559.278.6790 3
Distinguished Alumni Award
Please Print
I am pleased to nominate:
Please complete the following:
Address:
Phone Number:
Staff Initials: Date:
Email:
This nominee attended California State University, Fresno and graduated in
From the following list, please select the colleges the nominee has received a degree from.
The nominee has graduated from California State University, Fresno with at least a bachelor's degree.
OFFICE USE ONLY
The nominee can be contacted at:
with a degree in
College of Arts and Humanities
College of Health and Human Services
College of Science and Mathematics
College of Social Sciences
Craig School of Business
Jordan College of Agricultural Sciences and Technology
Kremen School of Education and Human Development
Lyles College of Engineering
First Name Middle Maiden Last Name
Year of graduation
Give full name of degree earned
Street
Mobile / Home Work
City State Zip
ABOUT THE NOMINEE
2625 E. Matoian Way SH124, Fresno, CA 93740 • Ph: 559.278.ALUM • Fax: 559.278.6790 4
Distinguished Alumni Award
Address:
Your Name: Relation to the nominee:
Your Signature: Date:
Street City State Zip
THIS NOMINATION IS MADE BY
What is your relationship to Fresno State?
Alumna/s
Community Member
Donor
Fresno State faculty
Fresno State administration or staff
Fresno State student
Phone Number: Email:
Mobile / Home Work
2625 E. Matoian Way SH124, Fresno, CA 93740 • Ph: 559.278.ALUM • Fax: 559.278.6790 5
Distinguished Alumni Award
Submit the information below with the nomination form:
(REQUIRED) In no less than 2-3 paragraphs, please describe how the nominee has made a signicant contribution as a
volunteer or donor to Fresno State. Provide specic examples of service including but not limited to volunteer service,
faculty/staff interaction and student interaction.
2625 E. Matoian Way SH124, Fresno, CA 93740 • Ph: 559.278.ALUM • Fax: 559.278.6790 6
Distinguished Alumni Award
Submit the information below with the nomination form:
(REQUIRED) In no less than 2-3 paragraphs, please describe how the nominee has provided signicant contribution to the
San Joaquin Valley. Provide specic examples of involvement with community organizations, fundraising efforts, board
participation and service.
2625 E. Matoian Way SH124, Fresno, CA 93740 • Ph: 559.278.ALUM • Fax: 559.278.6790 7
Distinguished Alumni Award
Submit the information below with the nomination form:
(REQUIRED) In no less than 2-3 paragraphs, please describe how the nominee has made a signicant contribution in/to the
State of California. Provide specic examples of involvement with organizations, causes, fundraising and service outside
the Central Valley.
2625 E. Matoian Way SH124, Fresno, CA 93740 • Ph: 559.278.ALUM • Fax: 559.278.6790 8
Distinguished Alumni Award
Submit the information below with the nomination form:
(REQUIRED) In no less than 2-3 paragraphs, please describe any national or international recognition. Provide specic
examples of involvement with national/international organizations, recognition or awards they have received, collaboration,
committee participation, and any other relevant information.
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18- Top Dog - Distinguished Alumni Award Nomination (California State University, Fresno)

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Completed 19 July 2020

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