NOMINATION FORM Please return completed form to Britta Tye at britta.tye@ttu.edu P.O Box 45001 Lubbock, TX 79409 Telephone: (806) 842-2933 Distinguished Alumni Award Program The university’s distinction and influence is reflected by the achievements of its alumni through business, profession or altruistic work To recognize outstanding alumni of Texas Tech University, the Alumni Association established the Distinguished Alumni program Nominations for the Distinguished Alumni Award are accepted from members and friends of the Alumni Association and Texas Tech University faculty and staff Name of nominee TTU college(s) graduated from Graduation year(s) _ Texas Tech Alumni Association member (to be completed by TTAA staff) Yes Principal Business _ No Title Home address Email address Home/cell phone Business phone _ Spouse’s name _ TTU graduate? Yes No Please attach complete lists for each of the areas below in the following order Additional information (articles, letters of support, biographical sketch, etc.) may accompany this form • Education - Names of schools with dates of attendance, degrees received and dates; honorary degrees with names of school and dates; also include student involvement and activities while attending Texas Tech In the case of military and civilian schools, include those of three months or longer where certificates or degrees are granted • Involvement/Support of Texas Tech University - Participation in local Texas Tech chapters, support of individual colleges or programs since graduation, TTU leadership positions held as alum, awards received from TTU or individual colleges, etc • Career Summary/Resume - In chronological order, list position, name of company, location, date, location and date of professional practice, include military service record • Civic, Philanthropic, Religious, Fraternal & Political Activities - Include offices and dates held • Professional or Commercial Activities - Corporate directorships or similar activities, teaching, consulting, professional societies • Non-Business Directorships - Foundations, trusts hospitals, etc • Other Noteworthy Contributions - Research, inventions, publications, outstanding artistic/professional works Nominator's name Email address Home/cell phone Business phone Business or home address Date of nomination