PLEASE TYPE ALL INFORMATION
NOMINATIONS MUST BE RECEIVED BY November 1

For a PDF Nomination Form, please see the bottom of this page.

In addition to the following information, please attach a statement to illustrate the reason the nominee is considered worthy of the award. The statement must support the award criteria and the nomination should include a vita or resume and a current photo. Additional letters of endorsement, not to exceed four endorsements including this nomination, may be submitted. We are unable to accept videos and books.

Please include information which applies to your nominee and complete as much of the listed information as possible. This will ensure that the committee will make a selection based on comparable information of all nominees.

1. NOMINEE'S EDUCATION
   
2. NOMINEE'S CAREER HISTORY- Include employer(s), position(s) and year(s)
   
3. PROFESSIONAL RECOGNITION AND AFFILIATIONS- Include organization, level of participation and year(s).
   
4. HONORS, AWARDS, CIVIC AND HUMANITARIAN SERVICE- Include organization, level of participation
   and year(s).

1. SERVICE TO AND SUPPORT OF CAMERON UNIVERSITY
   
2. OTHER SIGNIFICANT INFORMATION REGARDING THE NOMINEE'S PROFESSION OR LIFE