Alumni Awards Nomination Form

Full Name *

First

Last

Name while at The Valley (if different from above)

Class year

Phone Number

Email Address *

Award Category

Distinguished alumnus/NA – outstanding achievements or contributions to his/her field of profession. Community at large and Lebanon Valley College.
Alumni citation – outstanding achievements within his/her field of profession, community at large or Lebanon Valley Colelge
Young alumni – achievements in one’s profession, significant service to community or Lebanon Valley College graduating within the last 15 years.
Creative achievements – honoring creative accomplishments within the arts and journalism.
D. Clark Carmen award in admission – notable service to Lebanon Valley College through the referrals and recruitment of new student admission.
June Herr outstanding educator of the year – notable service within the field of education.

Nominator Full Name *

First

Last

Nominator Name while at The Valley (if different from above)

Nominator Class Year

Nominator Phone Number

Nominator Email Address *

Preferred method of contract for questions or additional information

Relationship to nominee

Please write a description of why you feel this alumnus/NA is deserving of the award:

Please provide the committee with any additional information to support this nominee's qualifications: