Distinguished Service Award

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Awarded to alumni who have supported Ohio University with their time, talents, or treasure.

Please collect all information required before beginning this form. We recommend you save your nomination information in a Word document on your computer as a backup. All form fields must be filled out and submitted in the same session.

Please email Kayley Walker, walkerk3@ohio.edu, with any questions.

Nominator Contact Information

First Name

Last Name

Nominator Email

Nominator Phone

Nominee Information

First Name

Last Name

Phone Number

Mailing Address

Address Line 2

City/Town

State/Province

ZIP/Postal Code

Grad year, degree and college or school

Service to University

Please provide the nominee’s record of contributions to Ohio University. That includes to its future wellbeing, University or College programs, and/or specific programs or groups. Contributions are defined as committing one’s time (e.g., volunteering/mentoring), talents (e.g., advising/partnering), or treasures (e.g., donating/fundraising). *Maximum of 500 words permitted.*

Student/Alumni Engagement

Please provide the nominee’s record of leadership and/or service in student/alumni engagement activities, including, but not limited to volunteerism, participation in student mentoring, and contributions to other notable student/alumni programming (e.g., letter-writing, recruiting, etc.). *Maximum of 500 words permitted.*

Letters of Recommendation

Please attach two letters of recommendation, each no more than two pages in length. Letters should be in reference to a nominee’s qualifications for an Ohio University alumni award. Please ensure that letters of recommendation are limited to a maximum of two pages. If a letter exceeds two pages, only the first two pages will be considered during the review process.

Letter of Recommendation #1

Please attach 1 of 2 letters of recommendation.
One file only.
10 MB limit.
Allowed types: txt, rtf, pdf, doc, docx, odt, ppt, pptx, odp, xls, xlsx, ods.

Letter of Recommendation #2

Please attach 2 of 2 letters of recommendation.
One file only.
10 MB limit.
Allowed types: txt, rtf, pdf, doc, docx, odt, ppt, pptx, odp, xls, xlsx, ods.

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