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___ University Advocate
___ Outstanding Chapter
___ Outstanding Achievement
Lifetime or Annual (circle one)
___ Outstanding Service
___ GOLD (Graduate Outstanding Last Decade)
Lifetime or Annual (circle one)
A description of each award category is listed at the end of this form.
Nominee’s Name:
___________________________________________________________________________________
Address: ___________________________________________________________________________
City:________________________________ State: ________ Zip: _____________________________
Country: _____________________________ Postal Code: ___________________________________
Phone Number: ______________________________________________________________________
E-mail Address: _____________________________________________________________________
Please describe in detail the reasons for your nomination (use additional paper if needed):
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
Nomination made by:
Name:______________________________________________________________________________
Phone Number: _____________________ E-mail: __________________________________________
Signature: ___________________________________ Date: ______________________________
Please mail your nomination to:
Florida Institute of Technology
Office of Alumni Affairs
150 W. University Blvd
Melbourne, FL 32901
Outstanding Achievement – Annual
Criteria: Graduate of Florida Institute of Technology – significant professional contribution and acknowledgement in the undergraduate or graduate field of academic preparation
Outstanding Achievement – Lifetime
Criteria: Graduate of Florida Institute of Technology – significant lifetime professional contribution and acknowledgement in the undergraduate or graduate field of academic preparation
Outstanding Service - Annual
Criteria: Graduate of Florida Institute of Technology – significant annual contribution to the service of the university
Outstanding Achievement – Lifetime
Criteria: Graduate of Florida Institute of Technology - significant lifetime contribution and recognition in the undergraduate or graduate field of academic preparation –
“GOLD” Award – Outstanding Graduate of Last Decade
Criteria: Graduate of Florida Institute of Technology – nominee will have graduated within immediate past ten (10) years - achievement in career, public service or volunteer activities that shall be deemed worthy of recognition and which have brought honor to the university
Outstanding Chapter
Criteria: sponsorship of activities that demonstrate support for the university in its overall mission via promotion of the university name in the local chapter's community – hosting activities that encourage student recruitment, career assistance, community relations, and promoting fellowship among chapter members
University Advocate Award
Criteria: need not be a graduate of Florida Institute of Technology – nominee must have advocated in behalf of the best interests of the university – evidence of advocacy may include leadership, service, a special gift or some activity that has had a direct, positive impact on the life of the university
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