Alumni

VUAA Alumni Award Nomination Form

If you prefer to mail in this nomination please print out this form, fill it out and mail to:

VUAA Committee on Awards
Loke Hall
Valparaiso University
1100 Campus Drive South
Valparaiso, IN 46383

My nominee for an alumni award is:
First Name:
Last Name:
Home Address:
City:
State:
Zip Code:
Day Phone:
E-mail:
VU Class Year or Years Attended:
Age:
Nominated by:
First Name:
Last Name:
Home Address:
City:
State:
Zip Code:
Day Phone:
E-mail:
Relationship to Nominee:

Please read the description of each award before making your recommendations. A candidate may be nominated for more than one award category. The selection committee reserves the right to grant an award for which the candidate has not been nominated. Please make sure that your statement of nomination clearly explains, in full, how your candidate fulfills the criteria contained in the award description.

Nomination

Please check one:






Statement of Nomination:

Additional references (optional):

List no more than two individuals who are writing letters in support of your candidate.

Reference:
Home Address:
City:
State:
Zip Code:
Day Phone:
E-mail:
Relationship to Nominee:
Reference:
Home Address:
City:
State:
Zip Code:
Day Phone:
E-mail:
Relationship to Nominee:

Additional comments and/or a resume may be submitted by mail to:

VUAA Committee on Awards
Loke Hall
Valparaiso University
1100 Campus Drive South
Valparaiso, IN 46383

Questions about the process? Call the VU Office of Alumni Relations at 800.833.6792, ext. 23, fax 219.464.5467, or send an e-mail to alumni@valpo.edu.

Nomination Deadline: February 15

Valparaiso University 1700 Chapel Drive, Valparaiso, IN 46383