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Box 45001 Lubbock, TX 79409 Telephone: 806 842-2933 • Education - Names of schools with dates of attendance, degrees received and dates; honorary degrees with names of school and dates

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NOMINATION FORM

Please return completed form to Britta Tye at britta.tye@ttu.edu

P.O Box 45001 Lubbock, TX 79409 Telephone: (806) 842-2933

Education - Names of schools with dates of attendance, degrees received and dates; honorary degrees with names of

school and dates; also include student involvement and activities while attending Texas Tech In the case of military and civilian schools, include those of three months or longer where certificates or degrees are granted

• Involvement/Support of Texas Tech University - Participation in local Texas Tech chapters, support of individual colleges

or programs since graduation, TTU leadership positions held as alum, awards received from TTU or individual colleges, etc

Career Summary/Resume - In chronological order, list position, name of company, location, date, location and date of

professional practice, include military service record

Civic, Philanthropic, Religious, Fraternal & Political Activities - Include offices and dates held.

Professional or Commercial Activities - Corporate directorships or similar activities, teaching, consulting, professional

societies

Non-Business Directorships - Foundations, trusts hospitals, etc.

Other Noteworthy Contributions - Research, inventions, publications, outstanding artistic/professional works

Distinguished Alumni Award Program

The university’s distinction and influence is reflected by the achievements of its alumni through business, profession or altruistic work

To recognize outstanding alumni of Texas Tech University, the Alumni Association established the Distinguished Alumni program Nominations for the Distinguished Alumni Award are accepted from members and friends of the Alumni Association and Texas Tech University faculty and staff

Name of nominee TTU college(s) graduated from Graduation year(s) _ Texas Tech Alumni Association member (to be completed by TTAA staff) Yes No

Principal Business _ Title Home address Email address Home/cell phone Business phone _ Spouse’s name _ TTU graduate? Yes No

Please attach complete lists for each of the areas below in the following order Additional information (articles, letters of support, biographical sketch, etc.) may accompany this form

Home/cell phone Business phone

Nominator's name Email address

Business or home address Date of nomination

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