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
required
Last Name
required
Primary E-mail
Address
required
Phone Number
required
Relationship to Nominee
required

Person you are nominating for the Hall of Distinction:

First Name
required
Last Name
required
Year graduated or attended
required
Address
required
Home Phone
required
Work Phone
required
Email Address
required
Major
required
Degree
required

Award Categories:


Please indicate the award for which you are nominating the person. Check only one option on the menu, please.




required

 

Nominee Association with Arkansas Tech:

Nominee association with Arkansas Tech University, 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.
required

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.
required

Awards & Recognition:

Awards & Recognition: Describe any awards or recognition the nominee has received, including those related to his or her profession or community service.
required

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.
required