Alumni Award Nomination Form

The Joann Placher Distinguished Alumni Award


Presented to alumni who exemplify the Francisican spirit through contributions to society and a value-centered professional and/or family life.

Please fill out the following form for a nomination, then hit the submit button:

Nomination and Selection Process:

  • Nominations may be submitted at any time during the year, but only those received by
    May 15 will be considered for the current year's award.     Any alumnus/a or other
    interested person may submit a candidate for consideration.
  • A selection committee will choose recipients of the awards from among the nominees.
  • Only one recipient will be selected each year to receive each of the five awards.


This online form contains the nominating criteria and questionnaire for each award. To ensure the candidate receives due consideration by the selection committee please complete, to the best of your ability, each question asked for the award. The Committee will also consider the nominee's vita and up to three (3) letters of recommendation. You may use this online form and email any letters of recommendation, or email all the information to alumni@stfrancis.edu


YOUR INFORMATION:

Your Name:
Mailing Address:
City/State/Zip:
Home Phone:
Work Phone:
Email Address:
You are: USF ALUM Faculty/Staff Other

 

NOMINEE INFORMATION:

Nominee:
Mailing Address:
City/State/Zip:
Home Phone:
Work Phone:
Email Address:
Employer &
Job Title

 

In what capacity has the nominee been involved with the University of St. Francis and for how long?

 

 

Describe how the actions of this nominee have served or benefited the University of St. Francis?

 

 

Describe any other activities or accomplishments that may be pertinent to this nomination.