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. 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. 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: Alumni _______________________________________ Colleague _____________________________________ Faculty _______________________________________ Family Member or Friend ________________________ Self-Nominee _________________________________ Staff __________________________________________ 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: _____________________________________________________________________________