Honorary Alumnus Nomination Form – Clemson Alumni Association

Full Name of Nominee*

Prefix First Middle Last Suffix

Has the nominee ever been enrolled as a student at Clemson University?*

Yes
No

Residence Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Business Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Home Phone

Business Phone

Cell Phone

Email Address

Education: Degree(s) Earned

Examples of Service to Clemson University and Alumni Association*

Please provide commentary and examples of nominee’s service and demonstrated loyalty to Clemson University and the Alumni Association.

Please provide examples of nominee's distinctive and lifelong devotion to Clemson University.*

Professional Background: Present Occupation*

Professional Background: Former Occupations*

Membership in professional, civic or business related organizations (Optional)

Name of Nominator*

Prefix First Middle Last Suffix

Nominator Year Graduated or Honorary Alumnus/a Class Year

Submission Date

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone*

Email Address*

Letters of Recommendation

Please provide a minimum of three letters of recommendation for your nominee, one being authored by the nominator. Must be a PDF or jpeg.

Accepted file types: pdf, jpg, docx, doc, Max. file size: 50 MB.

Letters of Recommendation 2

If you are uploading letters separately, include the second here. Must be a PDF or jpg.

Accepted file types: pdf, jpg, docx, doc, Max. file size: 50 MB.

Letters of Recommendation 3

If you are uploading letters separately, include the third here.

Accepted file types: pdf, jpg, docx, doc, Max. file size: 50 MB.

Additional Documents

Please upload any additional documentation.

Accepted file types: pdf, jpg, docx, doc, Max. file size: 50 MB.

Electronic Signature: By typing your name below you are indicating that you submitted this entry and you are expressing consent for the Alumni Association to share this nomination packet with the nominee – should they be selected for this honor – upon his or her request.

*All nomination materials are held in strict confidence throughout the selection process; however, those nominees selected to receive the Honorary Alumnus Award, upon their request, may be notified of their nominator and supporters if the nominator consents.

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Nomination Form Honorary Alumnus/a