2007 Alumni Awards Nomination Form

Please nominate individuals in the categories below. Provide your reason(s) for nominating them below . Please provide contact information for nominees when available.

To download and print an Adobe pdf nomination form click here.

Name of Nominee:

Contact Information:

Class of:

Submitted by (name):

Contact Information:

Award Category:

Distinguished Alumnus/a Distinguished Alumnus/a
(awarded to alumni who have achieved a level of excellence in their chosen profession and have provided outstanding support to the community and Augusta State University)

Distinguished Service
(Distinguished Service (awarded to non-alumni who have best served the interests of Augusta State University and made a significant commitment to furthering the goals and mission of the university)

Town/Gown
(awarded to a professor or university administrator who has actively worked to unite Augusta State University with the community)

Golden Key
(awarded to alumni who have actively supported Augusta State University and the Alumni Association and who are successful in their careers and community involvement)

Young Alumnus/a
(awarded to alumni who graduated within the last 10 years (class of 1997 or later), are 35 years old or younger, and have manifested special interest in Augusta State University and their community)

1. Please tell us why you think this nominee should be selected for this award:

2. Please tell us about the nominee's involvement at Augusta State University and the Alumni Association:

3.Please tell us about the nominee's involvement in the community:

4.What are the first three words that come to mind in describing the nominee?