Fillable Nomination Form 2016 Arthur Safstrom V2 - Nomination Form_2016_Arthur Safstrom_v2

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Nomination Form 2016 Arthur Safstrom V2 - Nomination Form_2016_Arthur Safstrom_v2

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Top Dog Alumni Awards
Nomination Form
Please send this nomination to the Fresno State Alumni Association, 2625 E Matoian Way SH124, Fresno, CA 93740 or
via facsimile at 559.278.6790 by Monday, February 15, 2016 at 4:00 PM (for the 2016 awards gala). For additional
information, please call 559.278.ALUM.
Arthur Safstrom Service Award
The Fresno State Alumni Association presents the Arthur Safstrom Service Award to an
alumnus/alumna, faculty, staff or friend of California State University, Fresno who has given
outstanding service to the Fresno State Alumni Association and/or the University.
For 29 years, the late Arthur Safstrom served as the University’s director of educational related
activities and was instrumental in the building of the College Union. A conference room in the
union is named in his honor. He was the student body president of Fresno State College in 1931-
1932, a member of the Fresno State Alumni Association Board of Directors and the 1960
Distinguished Alumnus of the Year.
Administration of the Award
• Nominees for the Arthur Safstrom Service Award shall be alumni, faculty, staff or friends
of California State University, Fresno.
• Service to the Fresno State Alumni Association and/or the University will be the prime
factor of award eligibility.
• The Safstrom Service Award recipient must be able to attend the awards ceremony.
*Please note that current Fresno State employees must be nominated for reasons outside of
their actual job description.
**All nominations will be reviewed for completion. Incomplete nominations will be sent
back to the nominator for resubmission. Attachments may not be used in lieu of answering
nomination questions.
Once nominated, alumni who do not receive the Arthur Safstrom Service Award will be
considered for the next two years for the award. Once the three years has expired, nominations
must be updated and resubmitted. Additional material such as updated biographical information
may be added to the nominee’s file within the three year time span for future years’ review.
The 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. The Executive
Director of the Fresno State Alumni Association will notify the winners of the awards.
The Arthur Safstrom Service Award recipient will be honored at an 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.
Top Dog Alumni Awards
Nomination Form
Please send this nomination to the Fresno State Alumni Association, 2625 E Matoian Way SH124, Fresno, CA 93740 or
via facsimile at 559.278.6790 by Monday, February 15, 2016 at 4:00 PM (for the 2016 awards gala). For additional
information, please call 559.278.ALUM.
Arthur Safstrom Service Award
Please Print
I am pleased to nominate:
First Name Middle Maiden Last Name
This nominee has the following relationship to Fresno State:
! Alumni ! Faculty/Staff ! Friend
If nominee is an alumni, please complete the following:
! School/College
! Student Affairs ! Athletics ! Library !Graduate Studies
Year of graduation
with a degree in
(if applicable)
Give full name of degree earned
This nominee can be contacted at:
Address:
City:
State:
Zip:
Home Phone:
Work Phone:
Email:
This nomination is made by:
Your Name:
Address:
City:
State:
Zip:
Home Phone:
Work Phone:
Email:
Your relationship to the nominee:
Your signature:
Date:
A press release may be sent to the awardee’s local news publication and/or trade journal:
Name of Local News Publication:
Contact Name:
Phone:
Contact Email:
Name of Trade Journal:
Contact Name:
Phone:
Contact Email:
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Top Dog Alumni Awards
Nomination Form
Please send this nomination to the Fresno State Alumni Association, 2625 E Matoian Way SH124, Fresno, CA 93740 or
via facsimile at 559.278.6790 by Monday, February 15, 2016 at 4:00 PM (for the 2016 awards gala). For additional
information, please call 559.278.ALUM.
Please detail how the nominee has distinguished himself/herself in service to the Fresno State
Alumni Association. Provide specific examples of service including but not limited to board,
committee, volunteer, scholarship, mentorship, and student interaction. (REQUIRED)
Please detail how the nominee has distinguished himself/herself in service to Fresno State. Provide
specific examples of service including but not limited to committee, volunteer, faculty/staff
interaction, and student interaction. (REQUIRED)
Please detail how the nominee has distinguished himself/herself in service to the community.
Provide specific examples of service including but not limited to committee participation, volunteer
participation, and any other relevant information. (REQUIRED)
Please attach a biographical sketch or professional resume and any letters of reference for the
nominee to this form (minimum 1 page, maximum 3 pages).
Attachments MAY NOT be used in lieu of answering nomination questions.
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Nomination Form 2016 Arthur Safstrom V2 - Nomination Form_2016_Arthur Safstrom_v2

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Completed 3 May 2020

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