Distinguished Alumni Nomination FormDistinguished Alumni Nomination Form

Submit your nominee for the Distinguised Alumni Award.

* Denotes Required

Nominee Information:
*Name:
Current Position/Title:
Business/Employer:
Business Address:
City of Business:
State of Business:
Zip Code of Business:
Business Phone Number:
Business Email Address:
*Home Address:
*City:
*State:
*Zip Code:
Home Phone Number:
Home Email Address:
Year(s) of Graduation:
Degree:
Major:
Category/Area of Recognition:
*Achievements that evidence the person is eligible for the Distinguished Alumni Award under the recommended category of recognition:
*Evidence the person is committed to Mount Aloysius College:
*Evidence of Mercy Tradition in personal life:
Other Comments/Highlights of Person:

Nominator Information:
*Name:
*Home Address:
*City:
*State:
*Zip Code:
*Home Phone Number:
Home Email Address:
What is your relationship to the nominee:
*Date of Nomination:

Mount Aloysius College
7373 Admiral Peary Highway, Cresson, PA 16630-1999
Toll free: 888.823.2220 | P: 814.886.4131