Alumni Hall of Fame nomination form

Each year at commencement the Alumni Hall of Fame inducts a graduate(s) based on his/her professional and personal achievements and service to the community. We are currently seeking nominations for the 2023 Alumni Hall of Fame. Eligible nominees should have:

earned the respect and trust of his/her associates in his/her chosen field
made substantial contributions to the good of his/her fellow human beings or be recognized as an outstanding practitioner of his/her profession or vocation
served as a motivational force for others in a positive manner

Please complete the form below no later than March 22, 2023 to nominate a Stark State graduate for the Alumni Hall of Fame.

Nominee Information

Nominee

Year Graduated

Nominee's Employer

Nominee's Title

Home Phone

Work Phone

Fax

Nominee's Home Address

Apt, suite, etc.

Country

City

State

Zip code

Nominee's Work Address

Apt, suite, etc.

Country

City

State

Zip code

Nominee's Professional Achievements/Accomplishments

Nominee's Contributions to the Betterment of the Community, Region, State or Nation

Examples of Community Leadership, Service, Philanthropy, Etc.

Additional Documentation: The following information is preferred but not required. This information can be emailed separately to tcopeland@starkstate.edu.

Please indicate item(s) that will be sent.

Resume

Vita

Additional Certifications

Does the nominee know he/she is being nominated?

Yes

Can the nominee be contacted?

Yes

Additional Comments

Nominator Information

Nominator

Phone

Fax

Nominator Address

Apt, suite, etc.

Country

City

State

Zip code

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Nominee Information

Nominator Information

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