OUTSTANDING YOUNG ALUMNUS AWARD NOMINATION 2024

Title

First

Middle

Last

Suffix

Degree

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Country

CANDIDATE'S DATE OF BIRTH

CANDIDATE'S BIRTHPLACE

CANDIDATE'S OCCUPATION / EMPLOYER

CANDIDATE'S FAMILY

List spouse's name (maiden name for ladies) and children's name(s). Indicate if spouse attended MSU.

CANDIDATE'S EDUCATION

List name(s) of school/college/university, degree, and year graduated or attended if did not graduate.

Also, list organizations (with offices held) and awards and honors received while at the school(s) listed above.

CANDIDATE'S CAREER DEVELOPMENT

List the candidate's professional accomplishments, including employment, membership in professional organizations, offices held, etc.

CANDIDATE'S RECORD OF SERVICE

List the candidate's volunteer service to the local alumni chapter/club, a council or volunteer network, the Alumni Association, and Mississippi State University. Be as specific as possible concerning dates of service, offices held, committee membership, etc.

Also, list the candidate's service to his/her community, state or nation, including recognition and honors received.

CANDIDATE PHOTO

One file only.
50 MB limit.
Allowed types: gif, jpg, jpeg, png.

ADDITIONAL DOCUMENTATION

One file only.
50 MB limit.
Allowed types: txt, rtf, pdf, doc, docx, odt, ppt, pptx, odp, xls, xlsx, ods.

ADDITIONAL INFORMATION ABOUT THE CANDIDATE

Provide information which will be beneficial to the candidate's nomination, such as outstanding traits, actions or deeds. How has this candidate’s service positively benefited and impacted the local alumni chapter/club, a council or volunteer network, the Alumni Association and Mississippi State University? What sets this candidate apart from all other volunteers?

NOMINATOR'S STATEMENT:

NOMINATOR'S SIGNATURE

I am pleased to nominate this candidate for the MSU Alumni Association's Outstanding Young Alumnus Award.

(sign below)

NOMINATOR: Class year or year(s) attended MSU (if applicable)

Name

Phone

Address

Address 2

City/Town

State/Province