Distinguished Alumni Award Nomination Form - Wayne State University

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The Distinguished Alumni Award is bestowed annually to honor an alumnus who has made a distinct impact in their chosen profession, serving as a role model to enhance the visibility of Wayne State and the community.

The 2025 Distinguished Alumni Award recipient will be announced in early 2025 and honored throughout the year.

The deadline for submitting nominations for the 2025 award is December 15, 2024. Only complete submissions will be considered.

Fields with asterisks (*) are required.

Nominee Information

First name *

Last name *

Email *

Phone *

Address *

City *

State *

Zip Code *

WSU degree(s) and graduation year(s)

In the space below, please provide a statement explaining why you think the nominee deserves the award (not to exceed 500 words). *

Please attach a copy of the nominee’s curriculum vitae or resume. *

Nominator Information

Relationship to nominee *

First name *

Last name *

Email *

Phone *

Address line 1 *

Address line 2

City *

State/province/region *

Postal/zip code *

Country *