DAA Nomination Form

Distinguished Alumni Award Nomination Form
DAA Nomination Form

 
We are now accepting nominations for the 2016 Distinguished Alumni Awards, the highest non-degree recognition bestowed by the University on an alumnus or alumna.  

The Worcester State University Mission Statement is the foundation for the awards, which are presented in five distinct categories: Outstanding Volunteer Service to the Community, Outstanding Achievement in the Field of Education, Distinguished Professional Achievement, Outstanding Service to Alma Mater, and Outstanding Young Alumnus/Alumna Award. For more complete guidelines click here

To nominate an individual who has graduated from an undergraduate or graduate program, please complete the form below or download the nomination form by clicking here. Deadline for 2016 nominations is December 1, 2015.

Current Worcester State University trustees and Alumni Association’s Advisory Board directors are not eligible while in service on the boards.

If you have any questions regarding the Distinguished Alumni Awards, please contact Nancy Lapriore in the Division of University Advancement at alumni@worcester.edu or 508-929-8141.


Nominator's Contact Information
 
Nominator's Full Name
required
Nominator’s Telephone
required
Nominator's Email
required
Nominator's Address
required

Nominee's Information

 
Select Award Category
required
Nominee's First Name
required
Nominee's Maiden Name
Nominee's Last Name
required
Class Year(s)
required
Nominee's Telephone
required
Nominee's Email
required
Nominee's Address
required
Present or Most Recent Job Title
required
Organization
required
Please upload your letter of support stating why Worcester State should honor this individual.
  required
Please upload any additional supporting documentation such as news articles, the nominee's resume, etc.