JIM AND NADINE HENRY AWARD



With this online nomination form, please email ryan.janousek@colostate.edu and attach the following:

      1.       Nominee’s vitae/resume (please limit vitae/resume to no more than 4 pages)
2.       No more than 5 pages of supporting documents (i.e. letters of support, newspaper clippings, etc.)

 Please be sure to indicate award category and nominee's last name in the subject line.

Documents may also be mailed to:
Colorado State University Alumni Association
Distinguished Alumni Awards
7114 Campus Delivery
Fort Collins, CO 80523-7114

pdf icon small For a PDF version of the nomination form, click here.

All supporting documents must be RECEIVED by the nomination deadline: June 2, 2017 (by 5 p.m. MST)


Please note that required questions are marked with an asterisk (*).




NOMINEE INFORMATION

First Name *
   

Middle Initial
   

Last Name *
   

Address: *
   

Daytime Telephone Number: *
   

E-Mail Address: *
   

CSU GRAD YEAR (if applicable):
   

Degree
   

College:
   

Non-CSU Degrees:
Identify University and Graduation Year(s)
   

Occupation or Profession:
   

Business Name:
   

Business Title:
   

Business Address:
   

Business Telephone:
   




QUESTIONS

Each question has a specific size/length limit.

In order to ensure that responses meet size limitations, we highly recommend that you first type your responses in a Word document (or similar program) and then transfer the responses to this form.

   1. How does the candidate represent the four core values (Pride, Tradition, Relationships, Diversity) of the Colorado State University Alumni Association? *
[3500 character maximum]
   

  2. In what ways does the nominee demonstrate a commitment to, and involvement in, the life of the University? *
[3500 character maximum]
   

  3. What has the nominee done to significantly support the Colorado State University Alumni Association AND the University? *
[3500 character maximum]
   

  4. Please list the ways in which the nominee has provided service to...

   a. CSU [limit of 500 characters, including spaces] *
   

   b. The CSU Alumni Association [limit of 500 characters, including spaces] *
   

   c. CSU Athletics [limit of 500 characters, including spaces] *
   




NOMINATOR INFORMATION

First Name *
   

Last Name *
   

Daytime Telephone Number: *
   

Address: *
   

E-Mail Address: *
   




SUPPORTING DOCUMENTS

Please send an email to Ryan.Janousek@colostate.edu and attach the following:

  1. Nominee's vitae/resume (please limit the vitae/resume to no more than 4 pages)

  2. No more than 5 pages of supporting documents (i.e. letters of support, newspaper clippings, etc.)

Please indicate the award category and nominee's last name in the subject line.

Choose one:
I am emailing additional supporting documents
I am mailing additional supporting documents

Please note that supporting documents must also be received by the nomination deadline of June 2, 2017 (by 5 p.m. MST)

Submit hard copies of supporting documents to:
    Colorado State University Alumni Association
    Distinguished Alumni Awards
    7114 Campus Delivery
    Fort Collins, Colorado 80523-7114
If you see this field, please leave it empty.

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