Arkansas Tech Hall of Distinction Nomination

Arkansas Tech Hall of Distinction Nomination

Arkansas Tech University Hall of Distinction Nomination Form

 

 

The following Hall of Distinction Nominee was nominated by:
Your First Name
Last Name
Primary E-mail
Address
Phone Number
Relationship to Nominee

Person you are nominating for the Hall of Distinction:


First Name
Last Name
Year graduated or attended
Address
Home Phone
Work Phone
Email Address
Major
Degree
Award Categories:
Please indicate the award for which you are nominating the person. Check only one option on the menu, please.




Nominee Association with Arkansas Tech:

Nominee association with Arkansas Tech Universtiy, if not an alumna/alumnus (for Distinguished Service Award only)
Nominee Sports Afiliation with Arkansas Tech:
Nominee Sports affiliation with Tech and years involved (for Distinction in Intercollegiate Athletics only)

Employment History/Positions Held:

Employment History/Positions Held: Describe the nominee's professional accomplishments including work history, directorships and offices held, professional organization memberships, and board appointments.
Community Service & Service to Arkansas Tech University:
Community Service & Service to Arkansas Tech University: Describe the nominee's commitment to their community and to Arkansas Tech. Please list community board appointments, civic organizations and church affiliations, and other community or volunteer information.
Awards & Recognition:
Awards & Recognition: Describe any awards or recognition the nominee has received, including those related to his or her profession or community service.
Family & Additional Information:
Family and Additional Information: Use the following space to give any additional information you deem noteworthy about the nominee. Mail or email additional pages, if needed.