Alumni Award Nomination Form
Springfield Education Foundation
Springfield Public Schools
2018-19 Alumni Award Nomination Form

Award Criteria:
Outstanding Alumni Award: Given in recognition of alumni for significant contributions in professional practice, personal achievement or community service.
Rising Star Alumni Award: Given in recognition of alumni less than 10 years from their graduation date (graduates from 2009 or later), who have demonstrated significant potential, through professional accomplishments, academic honors, personal achievement and/or community involvement.

Optional Supporting Documents:
You may also include your candidate's résumé plus factual statements or any other information from other sources and any other information you feel will be relevant to the committee's decision.
Please read the awards criteria at and required documents below before making your nomination(s).

Nominations are due by December 31, 2018.

Visit SpringfieldEducationFoundation.org/alumni-awards/ for additional information.

Nominator's Information
Nominator's Name *
Your answer
Nominator's Title (if any) *
Your answer
Nominator's Organization *
Your answer
Relationship to Nominee *
Your answer
Nominator's Work Address *
Your answer
Nominator's Home Address *
Your answer
Nominator's Telephone (day) *
Your answer
Nominee's Telephone (day) *
Your answer
Nominator's Email Address *
Please verify that this is correct.
Your answer
Nominee Information
Nominee's Name *
Your answer
Nominee's Title (if any) *
Your answer
Nominee's Organization *
Your answer
Contact Person (if any) *
Please include a name and relationship to the nominee.
Your answer
Nominee's Work Address *
Your answer
Nominee's Home Address *
Your answer
Nominee's Email Address *
Please verify that this is correct.
Your answer
Nominee's Year of Graduation *
Your answer
Which high school(s) did the nominee attend? *
Required
Nomination Information
In this section, you will select the the type of award that you are making a nomination for. Categories include:

(1) Outstanding Alumni Award — Given in recognition of alumni for significant contributions in professional practice, personal achievement or community service.

(2) Rising Alumni Award — Given in recognition of alumni less than 10 years from their graduation date (graduates from 2007 or later), who have demonstrated significant potential, through professional accomplishments, academic honors, personal achievement and/or community involvement.

Nomination Category *
Please check one of the following:
Narrative
You must provide a narrative of why this individual should receive this award.

The questions below don’t need to be answered verbatim, but may indicate to you how to explain the nominee’s qualifications.

Has the nominee received recognition for professional contributions, discoveries, or creative work through honors, awards, and/or media attention? *
Please describe.
Your answer
Has the nominee received recognition through community achievements? *
Please describe.
Your answer
Has the nominee had significant personal achievements? *
Please describe.
Your answer
Is there any other information about the nominee that you would like to add? *
Please describe.
Your answer
Supporting Documentation
In addition to completing this form, you may also choose to send your candidate's résumé (if available and appropriate), plus factual statements from as many sources as possible and any other information you feel will be relevant to the committee's decision.

Supporting documentation may be provided by email to Jennifer@SpringfieldEducationFoundation.org or mailed to Jennifer Brown, Associate Director of Development, Springfield Education Foundation, PO Box 663, Springfield OR 97477.

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