Outstanding Alumnus Nomination Form

The Outstanding Alumnus Award is awarded to a Penn State Schuylkill alumnus who has achieved success in his or her chosen field and/or within their community. Qualifications for consideration require that the nominee for this award be a graduate of a Penn State degree program.

Download the nomination form.

Nominee's Personal Information
Nominee Address
Nominee's Professional Information
Company Address
Nominee's Educational Information
If applicable.
Degree(s) Earned
Nominee Accomplishments
Nominator's Contact Information
Nominator's Address