OUTSTANDING ALUMNUS AND YOUNG ALUMNUS NOMINATION FORM
(Use additional attachments, if necessary)
VIRGINIA UNION UNIVERSITY NATIONAL ALUMNI ASSOCIATION, INC. OUTSTANDING ALUMNUS AND YOUNG ALUMNUS
NOMINATION FORM
OUTSTANDING ALUMNUS AND YOUNG ALUMNUS NOMINATION FORM
(Use additional attachments, if necessary)
Please check for applicability:
□ Outstanding Alumnus Nominee
□ Young Alumnus Nominee
The nominee must meet the following criteria:
Must have earned an undergraduate or graduate degree from the institution
Outstanding achievement in their professional, civic or community activities
Member of the Virginia Union University National Alumni Association (VUUNAA)
Young Alumni (must have graduated from institution within the last 15 years or is under the age of 40)
Distinguished service and contributions to their alma mater over the past 5 years
The notable contributions of the nominee should be reflected in the Awards and Recognition section of the nomination form. Additionally, community service and professional activities should be detailed and prominent in the reference section of the nomination form.
The selected alumni will be honored at the Homecoming VUUNAA Business Meeting during the Carol Smith McCall Awards Ceremony. The Alumnus of the Year and the Young Alumnus of the Year will also receive tickets to all Homecoming alumni events and one night’s stay in the host hotel for homecoming.
As recipients of these two awards, the winners will be nominated for the UNCF Outstanding Alumnus/Outstanding Young Alumnus Awards. This prestigious UNCF alumni award recognizes individuals who have made significant contributions to their alma mater, their community or UNCF. The Outstanding Alumnus/Outstanding Young Alumnus Hall of Honor Award is presented each year at the Annual Conference to an alumnus selected by their University. Alumni who are selected by their respective universities will be expected to attend the NAC Leadership Conference in February to receive the NAC Outstanding Alumni Award if selected.
The VUUNAA Awards Committee will review all nominations and make the final decision. Qualified applicants will receive a numerical rating based on the responses to the questions applicable to this award. These responses must be submitted along with any supporting documentation. Applicants who do not respond to the application questions may be rated ineligible.
Mail completed application and all supporting materials to: VUUNAA
Attention: Awards Committee
Post Office Box 26177
Richmond, Virginia 23260-6177
Deadline for Nomination: Postmarked by June 9, 2017
Name of Nominee: ______
Address: ______
City:______State: ______Zip:
Submitted By:
Chapter Name:
BIOGRAPHICAL DATA:
Name:
Gender: □ Male □ Female Telephone:
Home Address:
City: ______State ______Zip
E-Mail:
EDUCATION:
Years attended VUU
Degree Received Major Year
Graduate Work: (Institution)
Degree Received Major Year
Post Graduate Work: (Institution)
Degree Received Major Year
PROFESSIONAL DATA: (A resume can be attached)
Current Employer:
Position: Years of Service
Previous Employer: ______
Position: Years of Service
MILITARY SERVICE (If Applicable):
Branch: Years of Service
Awards and Recognition: (Last Five Years)
Award
Presented By Year ______
Award
Presented By Year ______
VUU AFFILIATION:
Are you currently a financial member of the VUUNAA? □ Yes □ No
Are you currently a financial member of a local chapter of the VUUNAA? □ Yes □ No
Local Alumni Chapter Affiliation:
ORGANIZATIONAL MEMBERSHIPS (Fraternal, Civic, UNCF, etc.):
Organization
Office ______Year ______
Organization ______Year ______
Organization ______Year ______
RELIGIOUS AFFILIATION:
Church:
Location:
NARRATIVE:
(Use additional attachments if necessary)
Describe your professional and/or business achievements.
List any special recognitions, honors and/or awards. Describe your community involvement (civic, philanthropic, military, and political).
Provide any evidence of loyalty and support (fundraising, recruitment, membership etc.) to VUUNAA and/or VUU.