Dillard University|Office of Alumni Relations

Alumni Awards Nomination Form 2018

Nominations and supporting materials must be received byOctober 14, 2017.

If you have questions about the Alumni Award nomination process, please contact the Alumni Relations Office at (504)816-4675.

Top of Form

YOURINFORMATION:

Full Name: ______

Email Address: ______

Address: ______

Daytime Phone Number: ______

Graduating Class (if applicable): ______

NOMINEE’S INFORMATION:

Full Name: ______

Graduating Class (if applicable): ______

Nominee’s Address (if known):______

Nominee’s Daytime Phone Number: ______

Email Address (if known): ______

Select which category for which you are nominating.(Check One. May submit more than one nomination form if nominating the same person for multiple awards).

Deadline for nominations is October 14, 2017. All nominations are confidential.

  • Dave Dennis Lifetime Achievement Award: This award is based on national and international distinction in one’s field and significant contribution to humankind.
  • Henry “Plook” Lucas Service Award: This award shall be presented to an alumnus who has exhibited significant leadership through service to his/ her Alma Mater.
  • Young Alumni Award: This award will be presented to alumni who matriculated within the last 15 years and have a significant record of career and/or civic achievement and promise in their profession.
  • Justice Revius O. Ortique Professional Excellence Award:This award shall honor an alumnus who has attained high achievement in his/her career field.

Part one: Nomination Statement

Please provide a detailed statement of support for your nominee. In your statement, be sure to address how your candidate fulfills the criteria for the award category for which you are nominating them.

Part two: Documentation

The submission of additional letters of support, updated curricula vitae, resumes, or related articlesis also encouraged.

  1. Please mail/email nominees bio, cv or resumés to the below address.
  2. Submit additional letters of support and/or articles relevant to this nomination.

SUBMISSIONInformation

Deadline for nominations is October 14, 2017. All nominations are confidential.

Deadline for nominations is October 14, 2017. All nominations are confidential.

Email To:

Mail To:

Dillard University

Alumni Relations Office

2601 Gentilly Blvd.

New Orleans, LA70122

Deadline for nominations is October 14, 2017. All nominations are confidential.

Fax To:504-816-4565

For Questions Please Contact:

Candace Waters,504-816-4182

Deadline for nominations is October 14, 2017. All nominations are confidential.