Owl Service Award Nomination Form

Owl Service Award
Presented to an alumnus/alumna, the Owl Service Award recognizes exemplary leadership and extensive service, in multiple ways and over a lengthy period of time, to promote the success, reputation, and value of the University of Maine at Presque Isle and/or the UMPI Alumni Association. May be awarded as suitable candidates arise.
Nominee Information
Please be as complete as you are able in filling out the information below.
Nominee*
Graduation Year (if known)
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 exemplary leadership and extensive service, in multiple ways and over a lengthy period of time, to promote the success, reputation, and value of the University of Maine at Presque Isle and/or the UMPI Alumni Association.
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*
Address*
Email*
Phone*

Owl Service Award