Alumnus of the Year (Male)
Alumna of the Year (Female)
Young Alumni Achievement Award
(30 years of age or younger, male or female)
Nominee's Address:
City: State: Zip:
Class year if known:
Nominator's Name:
Address:
City: State:
Zip:
Phone Number:
Area Code:
Number:
Email:
Class year
(if JSU grad):
Please list specific information as to how this nominee fulfills the requirements to receive this award. Be as specific as possible, listing any awards, community service, etc. as possible.
Please submit any letters of accommodation for the nominee with this application or have the letters sent to the alumni affairs office at 700 Pelham Road North, Jacksonville, AL 36265 or via email at alumni@jsu.edu
