2023 Distinguished Service Award

Alumni Award Nomination Form

To nominate a candidate or to self-nominate for this alumni award, please answer the questions below. If you do not know the answer to a question, you may skip it, but more complete applications do provide a better overview of the nominee's qualifications for the award. If you have any questions about this form, please contact Emily.Basaran@mville.edu.

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* 1. About you:

Name:

Telephone Number:

Email:

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* 2. About the nominee:

Name:

Place of Employment:

Current Position

Telephone Number/Email:

Year of Graduation from Manhattanville College:

Degree and Areas of Certification(if known):

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* 3. In what way does the nominee share his/her experience, knowledge, or research with the current School of Education student body? For example, has he/she been a speaker or participant in SOE workshops, events, or in classrooms?

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* 4. In what way does the nominee volunteer his/her time to participate in SOE events?

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* 5. Has the nominee shared his/her experience, knowledge, wisdom, or research with SOE students as either a formal or informal mentor? Please share any details you are aware of and the names of any students mentored, if known.

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* 6. Has the nominee contributed gifts or raised money for the School of Education in the form of contributions, scholarships, or awards? Please include any details you are aware of.

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* 7. Please include any other information about the nominee that you would like the Awards Committee to know.

The Awards Committee welcomes supporting materials and the CV of the nominee. These, as well as any additions and changes to the nomination form, should be sent to the Assistant Director of Alumni Development & Communications, Emily.Basaran@mville.edu.