JIM AND NADINE HENRY AWARD



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

1. Nominee bio - no more than 500 words, should include all CSU affiliations and

giving information, as well as all professional and civic involvement)

2. Nominee’s vitae/resume (please limit the vitae/resume to no more than 4

pages)

3. Professional, high-resolution, digital headshot (to be used in program and

event materials)

4. 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 1, 2018 (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:
   




NOMINATOR INFORMATION

First Name *
   

Last Name *
   

Daytime Telephone Number: *
   

Address: *
   

E-Mail Address: *
   


If you see this field, please leave it empty.

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