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Distinguished Alumni Award • Nomination Form Page 1 of 3 Grant MacEwan University Distinguished Alumni Award Nomination Form Each year Alumni Relations and Services recognize the contribution to MacEwan and to the community made by an outstanding alumnus. Presented at Convocation ceremonies, the Distinguished Alumni Award is open to all university graduates. To be considered, a candidate will have exhibited outstanding service and leadership in one or more of the following areas: • Service to the community • Business • Arts and Culture • Athletics • Science and Technology • Healthcare • Not-for-profit • Human development • The environment • Education • Government • MacEwan through Alumni Relations and Services • MacEwan through channels other than Alumni Relations and Services • Other areas which may be deemed appropriate by the Selection Committee Nominations must be submitted via the nomination form and include particulars of the nominator(s) along with written biographical information about the nominee. Anyone may nominate an alumnus for the award and there is no limit to the number of times a candidate may be nominated. Supporting documentation such as newspaper articles, letters of support, résumés, etc., should be included with submission. A well-prepared and documented nomination is required and a nomination without documentation may not be successful. All nominations will be acknowledged, in writing, by Alumni Relations and Services. The nominator(s) of the successful recipient will also be advised of the decision. Name of Nominee Program Year of Graduation Please indicate why your nominee deserves to receive this recognition. In forming your response, provide examples of how the nominee demonstrates an outstanding achievement or contribution in one or more of the following areas. Service to the Community Business

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Distinguished Alumni Award • Nomination Form Page 1 of 3 Grant MacEwan University

Distinguished Alumni AwardNomination Form

Each year Alumni Relations and Services recognize the contribution to MacEwan and to the community made by an outstanding alumnus.

Presented at Convocation ceremonies, the Distinguished Alumni Award is open to all university graduates. To be considered, a candidate will have exhibited outstanding service and leadership in one or more of the following areas:

•Servicetothecommunity •Business •ArtsandCulture •Athletics •ScienceandTechnology •Healthcare •Not-for-profit •Humandevelopment •Theenvironment •Education •Government •MacEwanthroughAlumniRelationsandServices •MacEwanthroughchannelsotherthanAlumniRelationsandServices •OtherareaswhichmaybedeemedappropriatebytheSelectionCommittee

Nominationsmustbesubmittedviathenominationformandincludeparticularsofthenominator(s)alongwithwritten biographical information about the nominee. Anyone may nominate an alumnus for the award and there is no limit to the number of times a candidate may be nominated.

Supporting documentation such as newspaper articles, letters of support, résumés, etc., should be included withsubmission.Awell-preparedanddocumentednominationisrequiredandanominationwithoutdocumentation may not be successful. All nominations will be acknowledged, in writing, by Alumni Relations andServices.Thenominator(s)ofthesuccessfulrecipientwillalsobeadvisedofthedecision.

Name of Nominee

Program

Year of Graduation

Please indicate why your nominee deserves to receive this recognition. In forming your response, provide examples of how the nominee demonstrates an outstanding achievement or contribution in one or more of the following areas.

Service to the Community

Business

Distinguished Alumni Award • Nomination Form Page 2 of 3 Grant MacEwan University

Arts and Culture

Athletics

Science and Technology

Government

Healthcare

Notforprofit

HumanDevelopment

The Environment

Education

Government

MacEwan through Alumni Relations and Services

MacEwan through channels other than Alumni Relations and Services

Please feel free to share any additional comments to support your nomination of this alumnus.

Distinguished Alumni Award • Nomination Form Page 3 of 3 Grant MacEwan University

Forclarificationand/orassistanceincompletingthenominationform, pleasecontactAlumniRelationsandServices,497-5543.

Please forward nominations, to be received no later than December 15th to:

GrantMacEwanUniversity Alumni Relations and Services 7-288,CityCentreCampus

10700–104 Avenue Edmonton,ABT5J4S2 Telephone:(780)497-5543 Facsimile:(780)497-4658 Email: [email protected]

NameofNominator:

TelephoneNumber:

SignatureofNominator:

Received-AlumniRelationsandServices:

Confirmation of GraduationRegistrar’s Office