Distinguished Alumni Nominations

The Distinguished Alumnus Award is the highest honor Texas A&M University can bestow upon a former student. It is awarded to former students who, through their distinction in their chosen field of endeavor, selfless service to society, and dedication and loyalty to the University, exemplify the core of Excellence, Integrity, Leadership, Loyalty, Respect and Selfless Service.

Please read the Award Criteria for a complete description of the selection process. This document also includes a printable application form.

SUBMISSION DEADLINE: October 7 , at 12:00 AM

Questions? Contact Lisa Ashorn at 979-845-7514 or LAshorn@AggieNetwork.com.

Your Information

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Name	First Name	Last Name	Class Year (A&M)
Mailing address	Street 1
	Street 2
	Street 3
	City	State	Zip
	Country
Primary phone number
Alternate phone number
Email

Nominee Information

Background

Nominee Name	Prefix	First Name	Middle Name	Last Name	Suffix	Class Year (A&M)
Spouse name		First Name		Last Name		Class Year (A&M)
Business & Position	(If retired, please indicate most recent occupation.)
Date & Place of Birth	place of birth		date of birth

Contact Information

Please fill out the nominee's contact information below. If this nomination is being made posthumously, please fill in the contact information for a close family member of the nominee - they will be notified if the nominee receives this award.

Preferred address	Care of (for posthumous nominations only)
	Street 1
	Street 2
	Street 3
	City	State	Zip
	Country
Primary phone number
Alternate phone number
Email

Nominee Information

Children

Nominee Information

Education

Some fields may not be applicable in all cases. Please fill in what you can. If the nominee attended Texas A&M, but did not graduate, please fill in their intended degree and Class Year.

Type:

Institution:

Degree:

Year Awarded:

Discipline:

Honors:

Nominee Information

Distinction as a Texas A&M University Student

Please list the nominee's participation in leadership activities and other distinctions earned as a student while attending Texas A&M University.

Nominee Information

Professional Achievement and Career/Military Distinction

Please list proof point on how nominee has achieved distinction or prominence in academia, the professions, the arts, education, government, industry, business, consulting or other noteworthy endeavors. In reverse chronological order (i.e., present position first) dating back to when nominee first graduated, list position, name of company/institution, location and date of professional practice.

Service and Support to Texas A&M University

Indicate how the nominee has demonstrated service and support to Texas A&M University

Service to Society

Indicate how nominee, either through philanthropy or service, has contributed to the betterment of society.

Letters of Support

Please provide the names and contact information for three people who will provide a Letter of Support for this nomination. The University President, the Texas A&M Foundation President, the 12th Man Foundation President, and The Association of Former Students’ President and CEO, Board of Directors and Executive Staff may not may not offer a Letter of Support. You can upload these letters in the next section of this form, or you can have the letters mailed directly to this address:

Attn: Lisa Ashorn
The Association of Former Students
505 George Bush Drive
College Station, TX 77840-2918

First Letter

Name	first name	last name	class year (A&M)
Mailing address	street 1
	street 2
	street 3
	city	state	zip
	country
Primary phone number
Alternate phone number
Email

Second Letter

Name	first name	last name	class year (A&M)
Mailing address	street 1
	street 2
	street 3
	city	state	zip
	country
Primary phone number
Alternate phone number
Email

Third Letter

Name	first name	last name	class year (A&M)
Mailing address	street 1
	street 2
	street 3
	city	state	zip
	country
Primary phone number
Alternate phone number
Email

Supporting Documents

Upload all supporting documents by selecting a file (.doc, .docx, .pdf) or image (.jpg, .gif, .png, .tif) and choosing the category in which it belongs. Your upload documents will appear in the right column.