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Distinguished Alumni Nomination Form

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Through its Distinguished Alumni Awards program, Carroll University annually recognizes its most notable alumni to acknowledge their commitments to their communities, professions and Carroll. Award recipients should have graduated at least 15 years prior to their nomination. The three award categories are:

P.E. MacAllister Distinguished Alumnus Award for Service to Carroll
To honor an individual who has distinguished himself/herself through leadership, volunteerism and service to Carroll.
Distinguished Alumnus Award for Community Service
To honor an individual who has performed exemplary volunteerism and leadership in serving his/her community.
Distinguished Alumnus Award for Professional Achievement
To honor an individual who has achieved high standards of success in his/her profession.

Nominations may be submitted at anytime. All nominations and accompanying research are kept in the strictest confidence. Alumni nominations will remain on file for future consideration.

Please complete the following as thoroughly as possible.

DAA Nomination Form
Name of nominee:
Maiden name:
Address:
City:
State:
ZIP:
Phone:
E-Mail:
Class year:
Major(s) at Carroll:
Profession:
Title:
Category being nominated for:
Statement: Why I believe this person should be considered. Include most important accomplishments, affiliations and honors. Please be specific; give examples.
Career Achievements:
Carroll involvements: (please include both past and present)
Community Service activities:
Noteworthy achievements/honors/recognition:
Education beyond Carroll:
References: (Other sources suggested for contact concerning nominee's accomplishments.)
Name 1:
Phone 1:
Name 2:
Phone 2:
Name 3:
Phone 3:
Person submitting nomination:
Name:
Daytime phone:
E-mail:
How did you become acquainted with the person you are nominating, and how long have you known them?
Date submitted: