Alumni on the Move Nominations – Oklahoma Panhandle State University

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Alumni on the Move Nomination Form

The Alumni On the Move is to be comprised of individuals who have contributed in some way to the growth, well-being, or public image of Oklahoma Panhandle State University. Candidates may qualify regardless of sex, race, creed, denomination, or political party. To be considered: an individual making a positive impact locally, nationwide, or globally, an individual that has made a big career move, an individual that has made an impact in a leadership role, or an individual that has and will continue to represent the university with positive ethics and morals. Any member of the faculty and staff of Panhandle State may nominate candidates for the Alumni on the Move by completing this form or contacting the Director of Alumni Relations, Shawn Joy.

Your Name

First Last

Date

Name of Nominee

First Last

Address of Nominee

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Nominee's Phone Number

What accomplishment has the nominee made that you feel should be recognized?

How has the nominee distinguished him/herself or shown leadership with his/her profession?

What contributions and/or leadership has the nominee provided in his/her community, state, or nation?

Please add anything you choose to support your nomination. (In addition to special knowledge you have of the nominee, a brief biography is appropriate in this section.)