Distinguished Alumni Award Information Sheet

Congratulations! You have been nominated for consideration to receive the Shippensburg University Jesse S. Heiges Distinguished Alumni Award. The Distinguished Alumni Award of Shippensburg University is presented to an alumnus/a in recognition of distinguished achievement in his/her field of endeavor for the benefit of the community and society.
In order to be considered for nomination, we ask that you please take the time to provide the following information to our office.

Name

First Name:

Maiden Name:

Last Name:

Contact Information

Street:

City:

State:

Zip:

Home#:

Cell#:

Email:

Education

SU graduation year(s):

Degree(s) from SU:

Field of study:

Other degrees held:

Institution:

Employment

Occupation:

Position:

Employer:

LinkedIn profile:

Things to know about me

Significant achievements:

Honors and Accolades:

Involvement with SU:

Charitable Activities:

Attach Resume

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