302 James Building

         College of Communications                   University Park, PA 16802         Alumni Society                                      (814) 865-3938

 

                                                                                                                                                                                                     

                                                                                                                                                                                                     

 

 

Awards Program Nomination Form

 

 

Award Descriptions

Outstanding Alumni Award

This award recognizes alumni who have demonstrated excellence in the field of communications, contributed significantly to their profession, and gained an exemplary reputation among colleagues and students within their community.

 

Achievement Award

This award recognizes Communications graduates or friends of the College whose significant contributions to the College and/or the University, in terms of time and talent, have brought distinction to themselves, the College, and the University.

 

Emerging Professional Award

This award recognizes recent alumni (10 years or less since graduation) for professional achievements and/or distinguished community service.

 

Please identify the award for which you are submitting a nomination (self-nominations accepted):

 

ˆ      Outstanding Alumni Award                

ˆ      Achievement Award (can be graduate or friend of the College)

ˆ      Emerging Professional Award

 

Please complete as thoroughly as possible, and use additional pages, if necessary.

Supplemental materials welcome.

                       

Candidate:______________________________________________________________________________

 

Home address:_________________________________________________________________________

 

Phone: (H)__________________________________ (B) ______________________________________

 

Profession/occupation:____________________________________________________________________

 

Title: ________________________________________________________________________________

 

Name of company/organization:__________________________________________________________

 

Business address:  ______________________________________________________________________

 

     Penn State Degree(s):  _________________________________

 

     Major:______________________________

 

     Education other than at Penn State:  _____________________________________________________

 

     __________________________________________________________________________________

 

Business/professional accomplishments, honors and awards:

 

_____________________________________________________________________________________

 

_____________________________________________________________________________________

 

______________________________________________________________________________________

 

Community service activities, leadership, honors and awards:

 

_____________________________________________________________________________________

 

_____________________________________________________________________________________

 

______________________________________________________________________________________

    

Penn State involvement, leadership activities and accomplishments as a student:

 

______________________________________________________________________________________

 

______________________________________________________________________________________

 

______________________________________________________________________________________

 

Current Penn State activities/involvement/memberships:

 

_____________________________________________________________________________________

 

______________________________________________________________________________________

 

_____________________________________________________________________________________

 

______________________________________________________________________________________

 

Please include additional information/narrative which supports this nomination (attach additional pages, if necessary):

 

______________________________________________________________________________________

 

_____________________________________________________________________________________

 

______________________________________________________________________________________

 

______________________________________________________________________________________

 

Nominator information:

 

Name: _______________________________________________________________________________

 

Address:______________________________________________________________________________

 

E-mail: ______________________________________________________________________________

 

Day-time Phone:  ___________________________  Date of nomination:  ________________________

 

Return to:          Alumni Society Awards Committee

                        Penn State College of Communications

                        302 James Building

                        University Park, PA 16802

                        Fax: (814) 863-6134