The Northern State University Alumni Association is currently seeking nominations of alumni who merit consideration for GOLD Distinguished Alumni. The NSU Alumni Association recognizes alumni who have attended Northern, reflected the values of being outstanding in their chosen careers, and demonstrated leadership and support for their communities and Northern State University.
The following nomination is for:
GOLD DISTINGUISHED ALUMNI (The highest award given by the Alumni Association, to one who has distinguished him/herself through personal successes and civic contributions, while bringing a sense of pride to the college community).
(Please Type or Print Legibly)
Name
(Last Name)
Degree(s) and Year(s)
Address:
City
Number of Children
News Media Outlet(s)
State
Present Position
Name of Company, School, Organization
Birth Date
Name of Spouse/Partner
(First Name)
Zip
(If retired, give year)
Marital Status
Grandchildren
Phone
(Middle Name)

Degree(s) and Year of Graduation from
Northern State University
Degree(s) and Year from Other
Colleges or Universities
List Professional Background
List Service to Northern State University
List Awards, Honors & Memberships in
Professional Organizations
List Awards, Honors & Memberships in
Community, Service and Volunteer Organizations
Military Records & Honors
Additional Information
Submitted By:
Address
Home Phone
City
Business Phone
Email
PLEASE RETURN BY February 15, 2015 TO:
NSU Alumni Association Selection Committee
Northern State University
Beckman Building
620 15 th Ave SE
Aberdeen, SD 57401-7610 nsualumni@northern.edu
State Zip