Nominate A Distinguished Alumni

Distinguished Alumni Nomination Form

Nominations are accepted year-round on a rolling basis. No additional documentation or information is required. After submitting the nomination form, you may choose to send optional supplemental documentation to alumni@ivytech.edu. Optional supplemental documentation may include: resumes, letters of recommendation, news articles, LinkedIn profiles, websites, Etc.

Distinguished Alumni Nomination Form
Name
Prefix First Last Maiden Name
Address
Street Address Address Line 2 City State ZIP Code
Email
Phone
Ivy Tech Degree(s)
- Associate of Arts
- Associate of Science
- Associate of Applied Science
- Associate of Fine Arts
- Associate of General Studies
- Technical Certificate
- Certificate
Ivy Tech Major(s)/Minor(s)
Ivy Tech Year(s) of Graduation
Primary Campus Attended
Degree(s) from other colleges/universities and year(s) completed
Current Employer
Current Job Title

Distinguished Alumni Nomination Form
Supplemental Questions Provide clear and concise details that highlight their merit and why you believe that they deserve to be honored as an Ivy Tech Distinguished Alumni.
How has the nominee made a positive impact in their community?
E.g.- volunteer activities, community/civic involvement, or community improvement projects.
What are the nominee's notable personal, professional, or academic accomplishments?
How has the nominee remained connected to Ivy Tech Community College since completion of their degree or certificate?
Why is your nominee an outstanding Ivy Tech Alumni who deserves to be celebrated?
File
File

Distinguished Alumni Nomination Form

Step 1 of 3

Distinguished Alumni Nomination Form

Distinguished Alumni Nomination Form