Plymouth State University Sites > Alumni > Connect > Alumni Awards > Nominate for an Alumni Award Nominate for an Alumni Award Alumni Recognition Awards Nomination Form Each year at Homecoming & Family Celebration, the Plymouth State Alumni Association recognizes alumni for their service to their community and the University. We thank you for taking the time to nominate a deserving alumna or alumnus for recognition. Self-nominations are welcome and encouraged. Nominations will be accepted until May 31, annually. View award descriptions and past recipients >> **Please note that University Advancement employees, current PSU Alumni Association Board of Directors, and current President's Council members are ineligible to receive Alumni Recognition Awards. Previous award recipients are also ineligible. Nominee's InformationNominee's Name* First Last Nominee's Home Mailing Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Country Nominee's Phone NumberFor US phone numbers use the (XXX) XXX-XXXX format. Please include country code with any international phone numbers.Phone TypeHomeCell PhoneBusinessNominee's E-mail E-mail TypeHomeBusinessIf the nominee is an alumna, alumnus, or graduating senior, please enter class year:If the nominee is a faculty or staff member, please enter department:Please check the award for which you are submitting a nomination (if you are unsure of the most appropriate award for your nominee, you may select more than one award):* Distinguished Alumni Service Award Alumni Achievement Award Ut Prosim Award Recent Alumni Award of Excellence Faculty/Staff Award of Excellence Graduating Senior Award of Excellence Outstanding Graduate Alumni Award Distinguished Alumni Service Award To be eligible, a graduate shall have rendered unusual service in the form of: faithful and continued effort in such areas as maintaining class or other alumni organizations; active participation in alumni or university affairs; and assistance in expanding the usefulness, influence and prestige of the University.Alumni Achievement AwardTo be eligible, a graduate should exemplify the University’s motto Ut prosim (That I may serve) through active participation in and special contribution to the activities of the Plymouth State Alumni Association, their chosen professional field, or the improvement of society in general.Ut Prosim AwardTo be eligible, a graduate should exemplify community service and contributions in business, professional, civic, philanthropic, volunteer or similar activities are worthy of recognition and have brought honor to Plymouth State University and exemplify the University’s motto, Ut prosim (That I may serve). Primary volunteer service shall not be to Plymouth State University, but to the community. Types of service include, but are not limited to: • Elected office or other civic involvement; • Community improvement programs (Big Brothers/Big Sisters, Girl/Boy Scout leadership, Homelessness Task Force, etc.); • Service society membership (Lion’s Club, Kiwanis, etc.); and • Leadership in professional organizations.Recent Alumni Award of ExcellenceTo be eligible, a graduate should have graduated within the last 10 years, in recognition of professional excellence and outstanding service to the University, association, community, and/or nation.Faculty/Staff Award of ExcellenceThe Faculty/Staff Award of Excellence is awarded to a faculty or staff member who exhibits a commitment to supporting alumni and students connections in a campus environment.Graduating Senior Award of ExcellenceThe Graduating Senior Award of Excellence is awarded to a graduating member of the incoming alumni class who exhibits outstanding campus and community leadership while enhancing alumni activities.Outstanding Graduate Alumni AwardThe Outstanding Graduate Alumni Award is awarded to a graduate alumnus/na who, through earning an advanced degree has been able to impact their profession, community or society in a positive and meaningful manner.Using the criteria in the award description, please tell us why you believe this individual should receive this award. Please provide as much detailed information as possible.Nominator's InformationYour Name* First Last Home Mailing Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Country Phone Number*For US phone numbers use the (XXX) XXX-XXXX format. Please include country code with any international phone numbers.Phone Type*HomeCell PhoneBusinessE-mail* E-mail Type*HomeBusinessDid you earn your degree at Plymouth State? Please enter your class year(s).Are you a Plymouth State employee? Please enter your department below.
