Arts and Sciences Outstanding Alumni Award 2014-2015 Nomination Form The Outstanding Alumni Award is presented annually to at least one distinguished undergraduate or graduate alumnus or alumna of a department in the College of Arts & Sciences, or from a department or program that historically had been in the College. Outstanding Alumni Award Guidelines: • • • Nominations must be submitted in writing. The candidate must have completed a program of study at Appalachian State University in the College of Arts and Sciences no less than five years prior to the award. Recipients will be notified immediately following selection and are encouraged to attend Arts and Sciences Honors Day, May 1, 2015 to be recognized. (Please Print Clearly or Type) I Would Like to Nominate:________________________________________________ Nominated By:__________________________________________________________ Nominator’s Contact information: Address:________________________________________________________________ City/State/Zip:_________________________________________________________ Phone: ______________________ E-mail: ____________________________ 1 Arts and Sciences Outstanding Alumni Award Nominee’s Contact Information: Name of Nominee: ___________________________________________________ Appalachian Class Year: ________ Department/Degree: __________________ Address of Nominee: _________________________________________________ City/State/Zip: ______________________________________________________ Phone (h): ______________________Phone (w): ___________________________ Business Name: ___________________ Current Position: __________________ Nominees for the award must have distinguished themselves through contributions in one or more of the following: to a profession, leadership roles, public service, creative endeavors, or other accomplishments. Please attach a separate description outlining any of the following contributions about the nominee (max. 2 pages): a. Occupational or professional excellence b. Career accomplishments (scientific, political, artistic, educational or literary contribution, research or endeavor, etc.) c. Service to the Department(s), College of Arts and Sciences or the University as an alumnus. d. Continued interaction with Appalachian State University Forms are also available online at: http://www.cas.appstate.edu/alumni/outstanding-alumni Return this form (mail, fax, or e-mail) attached with the detailed information requested above to the College of Arts and Sciences by February 27, 2015. Outstanding Alumni College of Arts and Sciences ASU Box 32021 Boone, NC 28608-2021 Phone: 828-262-3078 Fax: 828-262-4891 E-mail: [email protected] 2