ALUMNI OUTSTANDING SERVICE AWARD &
JANE LINGO ALUMNI OUTSTANDING SERVICE AWARD NOMINATION FORM
To nominate an individual for the Alumni Outstanding Service Award or Jane Lingo Alumni Outstanding Service Award
please complete this form and submit up to 10 pages of supporting information on each nominee (e.g. recommendation
letters and biological profiles). Please also include the nominee's resume; however, the Awards Committee will not
consider nominations that consist solely of a resume.
Please print a copy of these forms for your records. Supporting materials and hard copy nominations may be emailed to
alumawd@gwu.edu or mailed to the address below. Please note the nominee's name on all supporting materials.
Nominations must be received on or before Tuesday, August 11, 2015
GWAA Awards Committee  1918 F Street, NW  Washington, DC 20052
I AM NOMINATING THIS INDIVIDUAL FOR THE (CHECK ONE):
Alumni Outstanding Service Award
Jane Lingo Alumni Outstanding Service Award
NOMINEE’S PERSONAL INFORMATION
Name:
_____________________________________________________________
Home Address:
_____________________________________________________________
City, State, Zip:
_____________________________________________________________
Home Phone:
_____________________________________________________________
Email:
_____________________________________________________________
Job Title:
_____________________________________________________________
Company:
_____________________________________________________________
Business Address:
_____________________________________________________________
City, State, Zip:
_____________________________________________________________
Business Phone:
_____________________________________________________________
NOMINEE’S EDUCATIONAL BACKGROUND
GW School (eg CCAS)
CLASS YEAR
DEGREE/MAJOR
NARRATIVE STATEMENTS
Please address the following topics on additional typed pages or in a cover letter:
1. Why do you feel this person deserves this award?
2. Provide a detailed description of the nominee's GW-related volunteer service. For the Jane Lingo Award, please
provide a description of the nominee’s commitment above and beyond their professional responsibilities and
example(s) of how these verified volunteer efforts ensured the University’s impact on our community and future
generations of students.
_________________________________________________________________________________________________
Recommender’s Name
Title
GW Affiliation
_________________________________________________________________________________________________
Recommender’s Mailing Address
E-mail Address