HONORARY DEGREE NOMINATION FORM
1.
Name of nominee:
2.
Nominee’s contact information:
3.
Place and date of birth:
4.
Position:
4.
Academic degree(s) earned, granting institution(s) and date(s):
5.
Honorary degree(s), granting institution(s) and date(s):
6.
Professional experiences:
7.
Other activities or experience relevant to nomination:
8.
Important publications:
9.
Demonstration of humane, social, or community achievements which merit
recognition1:
10. Significant honors attained:
11. Documented extraordinary achievements or contributions2:
12. Relevance to Ohio University:
13. Why is the nominee deserving of an Ohio University honorary degree and why is
such a degree an appropriate honor?
1
Documentation must be specific and proved significant evidence of such achievements. For example, published biographies,
news articles, letters of commendation or tribute, portfolios.
2
Documentation must be specific and proved significant evidence of such achievements. For example, published biographies,
news articles, letters of commendation or tribute, portfolios.
Updated November 2013 -- 1
HONORARY DEGREE NOMINATION FORM
Nominator's Name:
Address:
_____________________________
Phone Number:
Please return completed form to:
Dr. R. Damian Nance
Distinguished Professor, Chair of the Honorary Degree Committee
Dept. of Geological Sciences
Clippinger Laboratories 316
nance@ohio.edu
Updated November 2013 -- 2