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Oberlin College Alumni Association
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ALUMNI AWARDS NOMINATION FORM |
| Name of Award
Nominee_______________________________________________Class___________________ |
| Date of Nomination_______________________________________ |
| If available, attach a current resume or C.V. for nominee. |
| Complete the applicable section for the appropriate award for your
nominee. |
| |
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| The Alumni Medal recognizes outstanding, sustained or unique
service to Oberlin College. For faculty and staff, this award
requires service above and beyond their professional duties. |
| ____ ALUMNI MEDAL NOMINEE |
| Type of service provided to the College/Conservatory by the
nominee: |
| Class President____ Executive
Board____ Class Agent____ |
| Faculty/Staff____ Alumni
Council Committees____ Trustee____ |
| Campus Residencies/Workshops____ Other___ (specify)_______________________________ |
| |
| What distinguishes this service to the College?
Quality____ Length of time____ |
| Describe
uniqueness___________________________________________________________________ |
| __________________________________________________________________________________ |
| Impact on Oberlin
College______________________________________________________________ |
| __________________________________________________________________________________ |
| |
| ********************************************************************************* |
| The Distinguished Achievement Award recognizes success that
reflects Oberlin's values in careers, volunteer activities, and in
life generally. The recipient will participate in a campus
visit. |
| ____DISTINGUISHED ACHIEVEMENT AWARD NOMINEE (MUST be an
Oberlin Alum) |
| Oberlin Values Demonstrated: |
| Community Service____ Civic
Engagement____ |
| Artistic Achievement____
Education____ Scholarship____ |
| Environmental Protection____ Social Justice,
Equity and Access____ |
| Scientific Achievement____
Professional/Business Achievement____ |
| Other____ (specify)___________________________________________ |
| |
| Describe how the nominee has demonstrated these
values______________________________________ |
| _________________________________________________________________________________ |
| |
| ********************************************************************************* |
| The Distinguished Service Award recognizes outstanding,
sustained or unique contributions to the Oberlin College Alumni
Association. |
| ____ DISTINGUISHED SERVICE AWARD NOMINEE (MUST be an Oberlin
Alum) |
| Types of service provided to the Alumni Association by the
nominee: |
| Class President____ Executive
Board____ Class Agent____ |
| Faculty/Staff____ Alumni
Council Committees____ Trustee____ |
| Campus Residencies/Workshops____ Other____ (specify)_________________________________ |
| |
| What distinguishes this service to the Association?
Quality____ Length of time____ |
| Describe
uniqueness_________________________________________________________________ |
| _________________________________________________________________________________ |
| Impact of the Alumni
Association________________________________________________________ |
| _________________________________________________________________________________ |
| |
| ********************************************************************************* |
| The Certificate of Appreciation recognizes a unique service or
contribution to the Oberlin College Alumni Association, to
Oberlin College, or one that exemplifies Oberlin
values. |
| ____CERTIFICATE OF APPRECIATION NOMINEE |
| Describe the unique service or contribution performed by the
nominee_____________________________ |
| ________________________________________________________________
When?___________ |
| Provided to: Alumni Association____ Oberlin
College____ Conservatory____ |
| Oberlin Values Demonstrated: |
| Community Service____ Civic
Engagement____ |
| Artistic Achievement____
Education____ Scholarship____ |
| Environmental Protection____ Social Justice,
Equity or Access____ |
| Scientific Achievement____
Professional/Business Achievement____ |
| Other____(specify)_______________________________________________ |
| |
| ********************************************************************************* |
| Nominated By (Please
Print)_____________________________________________Class__________ |
| Address__________________________________________________________________________ |
| Home Telephone_________________________ Business
Telephone___________________________ |
| E-mail_____________________________________________________________ |
| |
| Please send your nominations to the Oberlin College Alumni
Association, 50 West Lorain Street, Oberlin, OH 44074-1089, or fax to
440.775.6748. |