NOMINATION FOR 2019 ALUMNI AWARDS
By completing this nomination form you enable the dedicated volunteers of the Awards Committee and
the Board of the Association of Alumni to review and select deserving alumni to receive the our
Distinguished Alumni Awards. Before completing the form, take a moment to review the submission
criteria and guidelines concerning each award at www.shorter.edu/alumni-awards.
Please provide complete information and remember to submit the nomination before the official
deadline. Thank you for taking the time to nominate a deserving alumnus or alumna for this award.
1. NOMINEE
NOMINEE'S NAME:*___________________________________________________________
NOMINEE'S DEGREE/ YEAR:* __________________________________________________
NOMINEE'S EMAIL ADDRESS*__________________________________________________
NOMINEE'S ADDRESS:* ________________________________________________________
NOMINEE'S CONTACT NUMBER:*_______________________________________________
OCCUPATION/PROFESSION:*___________________________________________________
NOMINEE'S BUSINESS TITLE: *_________________________________________________
2. AWARD
I wish to nominate this person for the following award: (Please check)
Distinguished Alumni Award
Distinguished Alumni Service Award
Distinguished Young Alumni Award
3.
TELL US MORE
Please explain WHY you feel this alumni is deserving of this award recognition. (required)*
Minimum 100 words/maximum 1,500 words
What other attributes has your nominee demonstrated to support this nomination?
Any honors or
accolades the nominee has received? (required)* Minimum 100 words/ maximum 1,500 words.
Please describe the impact of your nominee on a local, regional, national, and/or international level.
(required)* Minimum 100 words/maximum 1,500 words.
Is there anything else about your nominee that you would like the committee to consider such as
community involvement or charitable activities?
4. YOUR INFORMATION
Nominator Name (required)*__________________________________________________________
Nominator Class Year (required)*______________________________________________________
Nominator's Email Address (required)*__________________________________________________
Nominator's Address (required)*_______________________________________________________
Nominator's Contact Number (required)*________________________________________________
Return completed Nomination Form to the Alumni Office at alumni@shorter.edu or print and mail to
Shorter University Alumni Office, 315 Shorter Ave., Rome, GA 30165
Please describe your nominee's exceptions professional achievements and contributions or service, as
they relate to the award they are being nominated for. (required)* Minimum 100 words/ maximum,
1,500 words
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