2020 Nomination Form

The Family and Consumer Sciences (FACS) Alumni Committee requests your assistance in the nomination process for naming distinguished alumni in FACS at the University of Central Arkansas.

The committee has established criteria to recognize individuals that have made outstanding achievements representing the FACS profession. The committee plans to recognize individuals in TWO categories:

YOUNG ACHIEVER (15 years or less in the profession)
DISTINGUISHED ALUMNI (more than 15 years in the profession)

Please assist the committee by nominating one (or more) deserving alumni and submitting your nomination form by March 20, 2020.

Please provide as much information as possible about your nominee.
Nominee Category *
Name of Nominee * First Last
Nominee Address
Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country
Nominee Phone Number (Work) - (###) - ### ####
Nominee Phone Number (Home) - (###) - ### ####
Nominee Email Address *
Please attach a copy of the nominee's resume OR attach a document addressing the following.

I. Professional Work Experience
II. Professional Memberships & Offices Held
III. Professional Activities (presentations, publications, etc. )
IV. Community Service Activities
V. Summarize a few key points of why you feel this individual should be selected.
Please attach documents here. Use additional file upload boxes as needed.
Please attach documents here.
Please attach documents here.
Please attach documents here.
Nominator Contact Information
Nominated By * First Last
Telephone Number (Work) - (###) - ### ####
Telephone Number (Home) - (###) - ### ####
Email Address *

2020 Nomination Form

2020 Nomination Form

Please provide as much information as possible about your nominee.

Nominator Contact Information