Clark University Alumni & Friends
950 Main Street • Worcester, MA 01610
Tel: 508 793 7166 • alumni@clarku.edu
Home > Alumni > Forms

Alumni & Friends
Contact Information Search
Clark University

Call for Nominations for the Distinguished Young Alumni Awards

The Clark University Alumni Association is accepting nominations for the Distinguished Young Alumnus/a Awards, which recognize Clark alumni for their conspicuous service to Clark University and for extraordinary achievements in their communities and professions. The awards will be presented on May 20, during Alumni Weekend - Reunion 2006.

Eligible candidates must: be a Clark alumnus/a and 35 years of age or younger at the time of nomination; and have demonstrated exceptional service to the University through volunteer effort, and/or have distinguished themselves in their profession, and/or be active in their community.

Nomination Form for the 2006 Young Alumnus Award

I nominate
Clark University Class of   
Occupation 
Address 
City/Town 
State 
Zip Code 

Home Phone Number 
Home E-mail Address   
Work Phone Number   
Work E-mail Address 

Nomination Information:

Nominated by (name)   
Clark University Class of (if applicable)    
Address   
City/Town   
State   
Zip Code   
Home Phone Number   
Home E-mail Address   
Work Phone Number   
Work E-mail Address 
#1. Please summarize the most important aspects of the candidate's life and/or career
thus far that qualifies him/her for this award.

#2. Please describe a record of outstanding achievements in the nominee's chosen career
and/or service in civic, philanthropic or volunteer functions.

#3. List other honors, awards and recognitions that the nominee has received.

By choosing "Submit" I nominate the above named individual for the 2005 Young Alumnus Award.
For questions about this form, please contact Office of Alumni Affairs.