I would like to nominate a Simpson College alumnus/a for the:

Alumni Achievement Award - Outstanding career achievement, service to community and service to Simpson.

Alumni Loyalty Award - Outstanding service to Simpson College

Recent Alumni Achievement Award - Outstanding career achievement and/or service to community. Class year not to exceed ten years from the year in which the award is given.

Recent Alumni Loyalty Award - Outstanding service to Simpson College. Class year not to exceed ten years from the year the award is given.

Humanitarian Service Award - Outstanding achievement, with emphasis on service to humanity on a broader scale than community service.

Alumni Association Board of Directors- The Alumni Association Board of Directors meets twice each year at Alumni Weekend and Homecoming. The purpose of the board is to inspire and maintain interest in the college; stimulate interest of prospective students; encourage support of the college and provide service to alumni.

Select Award:	Alumni Achievement Award Alumni Loyalty Award Recent Alumni Achievement Award Recent Alumni Loyalty Award Humanitarian Service Award Alumni Board of Directors
Name of Nominee:
Graduation Year:
Maiden Name : (if applicable)
Address:
City:
State:	Alabama Alaska Arizona Arkansas California Colorado Connecticut D.C. Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
Zip:
Email:
Work Telephone:
Home Telephone:
Employment History - Please list the nominee's current employer first.
Employer:
Title:
Employment Start Date:
Specific accomplishments, honors, awards while in this position:
Employer:
Title:
Employment Start Date:
Specific accomplishments, honors, awards while in this position:
Education - Please list all college/universities attended, after Simpson and any graduate or post-graduate institutions.
Institution:
Years Attended:
Major(s):
Degree Earned, Date:
Institution:
Years Attended:
Major(s):
Degree Earned, Date:
Simpson Activities and Honors as a Student:
Community and/or Professional Activities, Service, Honors, etc., After Attending Simpson:
Family (Please List, if any, Spouse and Children. Also Indicate any Family Members who have Attended or are Attending Simpson.):
Service to Simpson College (As an Alumnus/ae, Please List any Volunteer Work Provided, Giving History, Board Membership, etc.):
Reason for Nomination (Please State why you Believe this Person is a Qualified Candidate for an Alumni Award or the Alumni Board of Directors. Please note if nomination is for the Board.):
This form was filled out by (please include class year if an alumnus/a):
Name:
Phone Number:
Email: *
Your Relationship to Nominee: