PACIFIC UNIVERSITY | ALUMNI AWARD NOMINATIONS
Emerging Leader Award
The Young Alumni Leadership Award is presented to alumni who, while early in their career, have made
notable contributions to their profession or who have begun to make notable contributions to their
community.
A finished nomination packet includes this completed form and a letter of nomination. A resume or
curriculum vitae for the nominees is encouraged. Nominators may also submit up to three newspaper articles
or other materials relevant to the questions on this form.
To learn about previous recipients of the Emerging Leader Award, previously called the Young Alumni
Leadership Award, visit pacificu.edu/alumni/awards
NOMINEE NAME
CLASS YEAR(S)
DEGREE(S)
ADDRESS
CITY STATE ZIP
E-MAIL ADDRESS
TELEPHONE
PERSONAL OR PROFESSIONAL WEBSITE
NOMINATOR NAME
CLASS YEAR(S) OR AFFILIATION
ADDRESS
CITY STATE ZIP
TELEPHONE NUMBER
E-MAIL ADDRESS
RELATIONSHIP TO NOMINEE
DATE OF NOMINATION
Continued on reverse
.Application (side 2)
HOW HAS THE NOMINEE SHOWN EXCEPTIONAL LEADERSHIP IN THEIR VOCATION OR COMMUNITY?
HOW DOES THE NOMINEE EXHIBIT POTENTIAL TO INSTIGATE CHANGE IN THE FUTURE?
HOW HAS THIS NOMINEE BROUGHT RECOGNITION TO THE UNIVERSITY?
ADDITIONAL INFORMATION THAT MIGHT BE OF INTEREST TO THE REVIEW COMMITTEE?
Submit this form and a letter of reference to:
PACIFIC UNIVERSITY | Office of Alumni Relations | 2043 College Way | Forest Grove, OR 97116
alumni@pacificu.edu | fax 503-352-2056
Questions: 503-352-2057 | Nominations accepted through December 31, 2016.