IU Herron School of Art and Design

Distinguished Alumnus Award Nomination Form

Required fields are marked with •.

Nominee Information

First Name•

Last Name•

Degree(s) from IU•

Year(s) Graduated•

Degree(s) from other Universities

Year(s) graduated

Home Address

Address•

Address 2

City•

State•

Zip Code•

Home Phone• - -

Occupation• Membership in professional, business, civic, social, and similar organizations

Additional Background Information

Note: Since this award "recognizes alumni who have brought honor to their alma mater by distinguished career service or achievement or by giving extraordinary service to the Herron School of Art and Design," please include specific examples of nominee's achievements.

Service by nominee on boards, committees, and/or organizations•

Achievements by nominee in his/her field•

Additional information pertinent to nominee's qualifications

Submission Information

First Name•

Last Name•

Address•

Address 2

City•

State•

Zip Code•

Phone• - -

Email Address•

Nominations should be submitted by Friday, April 11, 2008 to:

Herron Alumni Association Awards Committee
Office of Alumni Relations
850 W. Michigan Street, Suite 241
Indianapolis, IN 46202-5198

Or via Fax at 317-274-5064.

For additional information, contact Kimberly Helton at (317) 274-8905 or kdhelton@iupui.edu.