Distinguished Alumni Award Nomination Form

Distinguished Alumni Award Nomination Form

DAA Nomination Form

The deadline for nominations for  the 2012 Distinguished Alumni Awards, the highest non-degree recognition bestowed by the University on an alumnus or alumna, closed on February 1, 2012.

The Worcester State University Mission Statement is the foundation for the awards, which are presented in five distinct categories: Outstanding Volunteer Service to the Community, Outstanding Achievement in the Field of Education, Distinguished Professional Achievement, Outstanding Service to Alma Mater, and Outstanding Young Alumnus/Alumna Award. For more complete guidelines click here. To nominate an individual, please complete the form below or download the nomination form by clicking here. Deadline for 2013 nominations is October 1, 2012. Current Worcester State University trustees and Alumni Association’s Advisory Board directors are not eligible while in service on the boards.

If you have any questions regarding the Distinguished Alumni Awards, please contact the Office of Alumni at alumni@worcester.edu or 508-929-8141.
Select Award Category
Name of Nominee (including maiden name if applicable)
Class Year(s)
Present/ most recent job title
Organization
Please upload your letter of support stating why Worcester State should honor this individual  
Please upload any additional supporting documentation  
Nominator's Name
Nominator’s Telephone
Nominator's Email

© WSU, 486 Chandler Street, Worcester, MA 01602
Phone: 1-888-WSC-ALUM
Email: alumni@worcester.edu