Faculty & Staff Recognition Awards Nomination Form

Distinguished Faculty Award
Presented to a current or former faculty member for their positive impact on the alumni of the University. Nominations for this award will be accepted from alumni only and are presented by the association on behalf of UMPI’s alumni. The recipient is to be selected by the awards committee assembled by the Alumni Association Board. May be awarded as suitable candidates arise.
Distinguished Staff Award
Presented to a current or former staff member for their positive impact on the alumni of the University. Nominations for this award will be accepted from alumni only and are presented by the association on behalf of UMPI’s alumni. The recipient is to be selected by the awards committee assembled by the Alumni Association Board. May be awarded as suitable candidates arise.
Select which award applies to your candidate*
- Distinguished Faculty Award
- Distinguished Staff Award
Nominee Information
Please be as complete as you are able in filling out the information below.
Nominee*
Address (if known)
Home Phone (if known)
Cell Phone (if known)
Email (if known)
Impact*
As thoroughly as you are able, please describe the nominee's impact on yourself as an alumnus/alumna of UMPI or upon the alumni population as a whole. You reason for nomination should include the nominee's effect on you during your time at UMPI and may include an impact on you following graduation if applicable.
Additional Comments
Is there anything else we should know?
Nominator Information
We will use this information to confirm your eligibility to nominate and to contact you should we have any questions. We will also use this information to contact you should your nominee be selected. If your information differs from our database we will reach out to confirm any changes.
Nominator*
Year Graduated*
Address*
Email*
Phone*

Faculty & Staff Recognition Awards Nomination Form

Distinguished Faculty Award

Distinguished Staff Award

Nominee Information

Nominator Information