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Make an Impact
Make an Impact
Why Give
Where Your Gift Goes
How to Give
Donor Spotlight
Ways to Give
Ways to Give
How to Give
Annual Giving
Planned Giving
Faculty & Staff
Corporate & Foundation Partnerships
Endowments
Through Your Local Campus
Grants
Societies & Awards
Societies & Awards
Circle of Ivy
Cornerstone Society
Ivy Champions
League of Ivy
Benefactor Awards
Distinguished Alumni Awards
Donor Resources
Donor Resources
Annual Report & Financials
Tax Credit Information
Donor Bill of Rights
Alumni
Alumni
Stay Connected
Alumni Benefits & Services
Giving Back
Distinguished Alumni Awards
About the Foundation
About the Foundation
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Foundation Staff
Board of Directors
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IvyTech.edu
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.
Step 1 of 3
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Name
*
Mr.
Mrs.
Miss
Ms.
Dr.
Prof.
Rev.
Prefix
First
Last
Address
Street Address
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
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Mississippi
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Montana
Nebraska
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New Hampshire
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New Mexico
New York
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Ohio
Oklahoma
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Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Email
*
Phone
*
Your Relationship to Nominee
*
Ivy Tech Faculty/Staff
Family Member
Friend
Colleague
Classmate
Self-Nominating
How did you hear about the Distinguished Alumni Awards nomination form?
I'm an Ivy Tech Faculty/Staff Member
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Distinguished Alumni Nomination Form
Name
Mr.
Mrs.
Miss
Ms.
Dr.
Prof.
Rev.
Prefix
First
Last
Maiden Name
Address
Street Address
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
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
Anderson
Bloomington
Columbus
Evansville
Ft. Wayne
Indianapolis
Kokomo
Lafayette
Lake County (Gary, E. Chicago)
Lawrenceburg
Madison
Marion
Michigan City
Muncie
Richmond
Sellersburg
South Bend/Elkhart
Terre Haute
Valparaiso
Other
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?
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