Survey - 2023 NAC Conference: Outstanding Young Alumnus Form

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OUTSTANDING YOUNG ALUMNUS NOMINATION FORM

February 16-19, 2023 | Sheraton Birmingham Hotel

The UNCF National Alumni Council (NAC) requests your selection(s) for the annual Alumni Awards. These prestigious alumni awards recognize individuals who have made significant contributions to their alma mater, their community and/or UNCF. Each school should submit the name of one alumnus for the Outstanding Alumni Award and one alumnus for the Outstanding Young Alumni Award. The NAC Awards Committee will not assume any responsibility for selecting a recipient. Each UNCF member institution should make its own selection.

Additionally, nominations for the Bill McGill Male Scholarship Award and the Charles Stephens/Ernest E. Fair Female Scholarship Award should be submitted by Pre-Alumni Council (PAC) advisers and UNCF College/University presidents.

These awards will be presented during the annual NAC/NPAC Leadership Conference at the UNCF Legacy Gala, Friday, February 17, 2023 at 7:30 p.m. at the Sheraton Birmingham Hotel.

ALUMNI AWARDS

Outstanding Young Alumnus Award (10 years or less) page 2 - 4
Outstanding Alumnus Award/Hall of Honor page 5 - 7
Cecelia Washington Award page 10 - 12

PRE-ALUMNI AWARD

The Outstanding Young Alumnus Award is presented each year at the Annual Conference to a recent alumnus selected by his/her college and National Alumni Association. The recipient must meet the following criteria:

Must have earned an undergraduate or graduate degree from the institution within the last 10 years
Must have made outstanding contribution to his/her alma mater, the community and/or UNCF
Must include these significant contributions in the “Awards and Recognition” section of the data form. These contributions should demonstrate the high level of support and noteworthy community service performed by the individual to his/her alma mater and the larger community

All submissions must include the following:

A high-resolution recent head shot photo with a minimum dpi of 300 on a light, plain background; no camera phone pictures, please.
Awardee should be dressed in professional/business attire in the photo.
Only one person on the photo; no group photos; committee will not crop single photo from group shot.
Signatures of college/university president and the National Alumni Association are required. No selections will be processed without both signatures.

DEADLINE FOR NOMINATIONS: December 1, 2022

Each recipient will receive an acknowledgement letter informing him/her of the award and inviting the recipient to register for the entire conference, invite guests, purchase ads in the souvenir journal and inform local news outlets about this recognition. Should you have questions or need additional information, please call Lillie Lanier at 404-374-1145.

NOMINATING UNCF INSTITUTION INFORMATION:

SUBMITTED BY:

Question - Not Required - UNCF Institution:

*

Question - Required - President:

*

Question - Required - NAA President:

Question - Not Required - Address:

Question - Not Required - City:

Question - Not Required - State:

Question - Not Required - Zip:

SIGNATURES REQUIRED:

COLLEGE/UNIVERSITY PRESIDENT
NAA PRESIDENT

NOMINEE BIOGRAPHICAL DATA

*

Question - Required - Name of Nominee:

*

Question - Required - Gender:

MALE

FEMALE

Question - Not Required - Telephone:

Question - Not Required - Home Address:

Question - Not Required - City:

Question - Not Required - State:

Question - Not Required - Zip:

Question - Not Required - E-mail:

NOMINEE EDUCATION

Question - Not Required - Nominating Institution:

Question - Not Required - Degree Received:

Question - Not Required - Major:

Question - Not Required - Year (Format - 20xx):

Question - Not Required - Institution:

Question - Not Required - Degree Received:

Question - Not Required - Major:

Question - Not Required - Year (Format - 20xx):

Question - Not Required - Institution:

Question - Not Required - Degree Received:

Question - Not Required - Major:

Question - Not Required - Year (Format - 20xx):

NOMINEE PROFESSIONAL DATA

Question - Not Required - Current Employer:

Question - Not Required - Position:

Question - Not Required - Years of Service:

Question - Not Required - Previous Employer:

Question - Not Required - Position:

Question - Not Required - Years of Service:

Question - Not Required - Previous Employer:

Question - Not Required - Position:

Question - Not Required - Years of Service:

NOMINEE AWARDS AND RECOGNITIONS

(LAST FIVE YEARS)

Question - Not Required - Award:

Question - Not Required - Presented By:

Question - Not Required - Award:

Question - Not Required - Presented By:

Question - Not Required - Award:

Question - Not Required - Presented By:

NOMINEE ORGANIZATIONAL MEMBERSHIPS

FRATERNAL, CIVIC, UNCF, ETC.

Question - Not Required - Organization:

Question - Not Required - Office:

Question - Not Required - Year:

Question - Not Required - Organization:

Question - Not Required - Office:

Question - Not Required - Year:

Question - Not Required - Organization:

Question - Not Required - Office:

Question - Not Required - Year:

NOMINEE RELIGIOUS AFFILIATION

Question - Not Required - Church:

Question - Not Required - Location:

Question - Not Required - Pastor:

Question - Not Required - Phone:

Question - Not Required - Fax:

Question - Not Required - Local Newspaper:

Question - Not Required - Address:

Question - Not Required - City:

Question - Not Required - State:

Question - Not Required - Zip:

Question - Not Required - Phone:

Question - Not Required - Fax: