PACIFIC UNIVERSITY | ALUMNI AWARD NOMINATIONS
Outstanding Alumni Award
The Outstanding Alumni Award is presented to alumni who have made significant contributions to their profession
or significant contributions in service to their community.
All alumni are eligible for this award, except those who have received an honorary degree from the University.
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 Outstanding Alumni 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)
SIGNIFICANT PROFESSIONAL AND/OR PERSONAL ACHIEVEMENTS OF NOMINEE
OTHER AWARDS OR RECOGNITION RECEIVED BY THIS NOMINEE
STATEMENT ON WHY THIS NOMINEE QUALIFIES FOR THIS AWARD
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.