Please answer the following questions about the person you are nominating. Nominee Information First Name Last Name Last Name at Graduation (if different) Years attended Penn State Greater Allegheny Graduation Year Education/Degrees acquired from other institutions Home address City State - Select -AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Marianas IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyoming Zip Code Home/cell phone Work Phone Email Address Employer Title Nature of Business/Profession Information on Nominee’s family (partner’s name, partner’s profession, children’s names/ages, Penn State legacy family) Questions What significant contribution has the nominee made to his/her profession or field? What are the nominee’s career accomplishments and achievements? How has the nominee remained connected to Penn State Greater Allegheny? Detail any community service activities with which the nominee has been involved. This includes both leadership roles as well as participation. The following 4 questions are about the person you are nominating. Supporting documents for each area, such as newspaper articles, press releases and resumes, are strongly encouraged. These can be uploaded below and submitted with this form, or emailed to [email protected]. File Uploads Letter of Reccommendation Upload Upload requirementsOne file only.2 MB limit.Allowed types: gif, jpg, jpeg, png. Optional File Upload 1 Upload Upload requirementsOne file only.2 MB limit.Allowed types: gif, jpg, jpeg, png. Optional File Upload 2 Upload Upload requirementsOne file only.2 MB limit.Allowed types: gif, jpg, jpeg, png. Nominator"s Information Nominator"s Name Nominator"s Address City State - Select -AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Marianas IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyoming Zip Code Email Address Daytime phone CAPTCHA Submit