Ivan and Mary Novick Award

for Young Alumni Leadership

Nomination Form

The Ivan and Mary Novick Award for Young Alumni Leadership recognize the activities of our younger alumni and provides a travel stipend for the recipient to attend the award presentation.

The criteria for the award are as follows:

·  only degree holding alumni who have graduated within the last 15 years will be considered;

·  the candidate must be 38 years of age or younger;

·  the candidate must have demonstrated committed involvement and leadership as a volunteer of the Pitt Alumni Association and/or the University of Pittsburgh.

COMPLETING A NOMINATION:

Access this nomination form online at www.alumni.pitt.edu/alumni/awards/nominate/.

·  .

·  You can complete the form on your computer or print out a hard copy and complete the form manually.

·  If you choose to complete it online, save the completed nomination form by selecting “SAVE AS” and save it to your computer with the name of the nominee in the file name.

·  Send the saved document as an attachment to Gary Pollock ().

·  If you wish to submit any additional documents, such as a biographical sketch, resume, c.v., article, etc., you may also attach them to the email, or send them to the address or fax listed below.

Completed nomination forms must be submitted by the due date outlined on the Nominate web page.

AFTER SUBMISSION:

·  Receipt of your nomination will be confirmed within one day.

·  You will be notified of the selected recipients in May.

·  The awardees will be honored at a luncheon hosted by the Pitt Alumni Association during Homecoming.

Attn: Gary Pollock ()

Pitt Alumni Association

4227 Fifth Avenue, Suite 140

Pittsburgh, PA 15260

Phone: 1-800-ALU-PITT or 412-624-8227 Fax: 412-624-8288

Thank you for participating in our awards program. Hail to Pitt!


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Ivan and Mary Novick Award

for Young Alumni Leadership

Nomination Form

Nominee Name:
Age of Nominee: (must be 38 years or younger)
Pitt School(s) and Year(s):
Daytime Phone: / E-mail Address:
Occupation:
Job Title:
Company:


Nominated by:
Phone: / E-mail Address:
Pitt Affiliation:


Please list the organizations within the University of Pittsburgh that the nominee is involved and include any known positions held.

Organization: / Position:
Organization: / Position:
Organization: / Position:
Organization: / Position:
Organization: / Position:
Organization: / Position:

Please continue to next page…

Please provide details about this nominee’s duties and responsibilities in their volunteer role(s). Please share how you feel this Pitt alum has enriched the life of the University of Pittsburgh through their volunteer efforts.

q Please check here if you plan to submit additional documents with your nomination. (Not required)

Remember:

·  To save the completed nomination form, select “SAVE AS” and save it to your computer with the name of the nominee in the file name.

·  Send the saved document as an e-mail attachment to Gary Pollock at .