Distinguished Alumni Award Nomination

To nominate an individual for the Distinguished Alumni Award, please provide the information requested below concerning the person you wish to nominate. Nominees should be graduated from Pellissippi State Community College for a minimum of five years.

The nomination form can be filled out online below or you may complete the digital nomination form (PDF). Return to Angela Pugh by email, mail, or fax.

Foundation Office, Hardin Valley Campus
acpugh@pstcc.edu
Fax number: 865-539-7241

For questions, please email Angela Pugh at acpugh@pstcc.edu or call at 865-539-7275. Nominations must be submitted no later than Monday, February 17, 2020.

Nominator Information

First Name

Last Name

Relationship to Nominee

Address

City

State

Zip

Phone Number

Email

Nominee Information

Full Name

Address

City

State

Zip

Phone Number

Email

Employer

Job Title

Graduation Year*

*Nominees should be graduated from Pellissippi State Community College for a minimum of five years.

Major

Degree

 

Why should this person be considered for the Distinguished Alumni Award?

Please list professional accomplishments, honors and recognitions, activities, community contributions, and other information that you deem noteworthy. Submissions should be 250 – 750 words.

Optional: submit nominee’s resume to acpugh@pstcc.edu in addition to the nomination form submission.

Submit