Faculty-Staff Inspiration Award Nomination

NOMINATION FOR THE FACULTY-STAFF INSPIRATION AWARD

The Iowa State University Alumni Association (ISUAA) established this award in 2011 as a way for former ISU Students to recognize current or former ISU faculty or staff members who had a significant influence in their lives as students at ISU. Nominees may be anyone who is or was employed by ISU. Nominees need not be Iowa State alumni. Nominations should be submitted based on the impact the ISU faculty or staff member had on the former students’ professional or personal life. This award may be given posthumously*. Up to six awards are granted annually. Nominators and award recipients will be recognized at the ISU Alumni Association Annual Dinner held in May. Recipients will also be recognized in Iowa Stater magazine, on the ISUAA website, and in ISUAA electronic communications.

Nomination deadline is December 1.

This nomination form cannot be saved so please have all information and documents ready when you begin this form.

Nominee Information

First Name: Required Field

Last Name: Required Field

University title or position held:

Year(s) the nominator was impacted:

*If nominee is deceased the information for his/her next of kin must be provided. If you are providing information for someone other than the nominee please indicate the person’s name and relationship to nominee. If not, continue with nominee’s address information.

Name and relationship of next of kin (if applicable):

Nominee home address: Required Field

City/State/Zip: Required Field

Email Address: Required Field

Preferred Phone: Required Field

Nominator Information

First Name: Required Field

Last Name: Required Field

Year graduated from ISU:

Address 1: Required Field

Address 2:

City:

State:

Zip:

Primary E-mail Required Field

Email

In 700 words or less please indicate how a current or former ISU faculty or staff member significantly influenced your professional or personal life. Be sure to include specific examples, validations, etc. Please save and upload document as a PDF file.

Essay:

Judging Criteria:

Significance of the impact the faculty/staff member had on the life of the former student;
Strength of compelling story;
Relevance of the supporting examples used.

All nominations are kept on file for one year following the year in which they are originally considered, if not selected that first year.

SUBMIT NOMINATION FORM BY DECEMBER 1.

Questions? Please call Katie Lickteig toll-free at 877-ISU-ALUM (or locally, at 515-294-1955), or send email to kbruxvoo@iastate.edu.