nomination form - Pratt Institute

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ALUMNI ACHIEVEMENT AWARDS (AAA) 2016
AAA 2016 NOMINATION FORM:
Pratt Institute’s Alumni Achievement Awards recognize outstanding graduates who have distinguished
themselves in their fields; have earned a high degree of respect among their colleagues and in the
general community and whose impact has been felt on a regional, national and/or international level.
Please review the award descriptions and eligibility criteria and select the category that is best suited to
your candidate. A candidate may be nominated for more than one category and the awards committee
reserves the right to grant an award in a different category should the information warrant. Complete
as much known information for the following items.
Complete this form and send any additional materials to:
PRATT INSTITUTE
Attn: Alumni Achievement Awards 2016 - NOMINATION
Office of Alumni Relations
200 Willoughby Avenue
Brooklyn, New York 11205
Email: alumniev@pratt.edu ǀ Fax: (718) 636-3455
Deadline for Nominations: WEDNESDAY, NOVEMBER 18, 2015
Nominee’s First Name: ____________________________________________________________
Nominee’s Last Name: ____________________________________________________________
Nominee’s Maiden Name (If Applicable): _____________________________________________
1.) From which School did the nominee earn their Pratt degree? (If more than one degree, circle all
that apply)
o
School of Architecture
Undergraduate
 Architecture
 Construction Management
Graduate
 Architecture First-Professional Degree
 Architecture Post-Professional Degree
 Architecture and Urban Design
 City and Regional Planning
 Facilities Management
 Historic Preservation
 Sustainable Environmental Systems
 Urban Placemaking and Management
o
o
School of Art
Undergraduate
 Art and Design Education
 Digital Arts
 Film
 Fine Arts: Ceramics, Drawing, Jewelry, Painting, Printmaking, or Sculpture
 Photography
 Associate’s Degrees: AAS Graphic Design/Illustration, AAS
Painting/Drawing, AOS Graphic Design, AOS Illustration, or AOS Digital
Design and Interactive Media
Graduate
 Art and Design Education
 Arts and Cultural Management
 Art Therapy and Creativity Development
 Art Therapy with Special Needs Children
 Dance Therapy
 Design Management
 Digital Arts: Interactive Arts, Digital Animation and Motion Arts, or Digital
Imaging
 Fine Arts: Integrated Practices, Painting and Drawing, Photography,
Printmaking, or Sculpture
School of Design
Undergraduate
 Communications Design: Graphic Design, Illustration, or Advertising Art
Direction
 Fashion Design
 Industrial Design
 Interior Design
Graduate
 Communications Design
 Industrial Design
 Interior Design
o
o
o
 Package Design
School of Information
Graduate
 Library and Information Science
 Library Media Specialist
 Museums and Digital Culture
 Advanced Certificates: Archives Certificate Program, Digital Humanities,
Library and Information Studies, Library Media Specialist, Museum Libraries,
or User Experience (UX)
School of Liberal Arts & Sciences
Undergraduate
 Critical and Visual Studies
 History of Art and Design
 Writing
Graduate
 History of Art and Design
 Advanced Certificate in Museum Studies
 Media Studies
 Performance and Performance Studies
 Writing
Dual Degrees
 History of Art and Design/Fine Arts
 History of Art and Design/ Information and Library Science
 Library and Information Science/Digital Arts
 Library and Information Science/Law (with Brooklyn Law School)
 Planning and Law (with Brooklyn Law School)
2.) What year(s) did the nominee graduate from Pratt? _______________________________
3.) Please circle the award category that is best suited for your nominee.
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Early Career Achievement Award
Mid-Career Achievement Award
Career Achievement Award
International Career Achievement Award
Community Commitment Award
Distinguished Service Award
Lifetime Achievement Award
4.) Provide a detailed description of why the nominee is deserving of the award category for
which they have been nominated.
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
5.) Describe the nominee's connection to Pratt. Circle all that apply.
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Alumni
Class Reunion Committee Participation
Faculty or Faculty Emeritus
Fraternity and Sorority Life
o Kappa Sigma
o Pi Sigma Chi
o Theta Phi Alpha
o Sigma Sigma Sigma
o Inter-Greek Council (IGC)
o National Panhellenic Council (CPC)
o Order of Omega
o Other Fraternity and Sorority (Not Listed): _________________
Gatekeeper Society
Leadership Society
Recent Alumni Committee (RAC)
Renaissance Society
Trustee or Trustee Emeritus
Other(Not Listed): ______________________________________________
6.) Describe the nominee's affiliations and awards beyond Pratt.
• Civic Affiliations (non-profit board membership, volunteer service, etc.)
• Professional Affiliations
• Awards
7.) Please include information on the nominee's professional background.
• Positions held
• Impact
• Accomplishments
• Other
RECOMMENDED: As part of your nomination, any additional documentation such as magazine articles,
curriculum vitae, resume, photos, and additional letters of support are greatly appreciated.
MUST BE COMPLETED BY NOMINATOR OR APPLICATION IS INVALID
NOMINATED BY (PRINT): __________________________________________________________
PHONE NUMBER: _________________________________________________________________
EMAIL ADDRESS: __________________________________________________________________
NOMINATOR’S AFFILIATION WITH PRATT:
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Alumni _______________________________________
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Colleague _____________________________________
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Faculty _______________________________________
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Family Member or Friend ________________________
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Self-Nominee _________________________________
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Staff __________________________________________
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Other (Please Specify) ____________________________
RELATIONSHIP TO NOMINEE:
I, ______________________________________, affirm the information in this nomination form is
correct to the best of my knowledge. I understand all decisions of the award selection committee are
final.
NOMINATOR’S SIGNATURE: ___________________________________________________________
DATE: _____________________________________________________________________________
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