Alumni Group Awards Nomination Form | Wisconsin Alumni Association

Chapter or Group Name*

Requester Name*

First*

Last*

Requester Position/Title in Chapter or Group*

Requester Phone Number*

Requester Email*

For which award(s) are you submitting a nomination?*

Badger of the Year
Lifetime Achievement Award
Presidents’ Circle of Excellence

The Badger of the Year Award recognizes local alumni who have represented the university positively through success in their profession, community service initiatives, or volunteer activities.

The Lifetime Achievement Award recognizes chapter or group leaders who have served in a role (or multiple roles) with a chapter or group for 10 or more years.

The Presidents’ Circle of Excellence Award recognizes excellence in volunteer service to the university and is awarded to alumni who have actively served in a leadership role with their local alumni chapter or group.

Badger of the Year Nominee Name*

First*

Last*

Badger of the Year Nominee Graduation Year(s)*

Badger of the Year Nominee Occupation or Title*

How has the Badger of the Year nominee served the alumni community and embodied the Wisconsin Idea?*

Please attach supporting documents, such as the Badger of the Year nominee’s CV, links to relevant web pages or articles, letters of recommendation from colleagues or professors, and so on. If possible, please attach a high-resolution photo of the nominee. (File size: limit 16 MB.)

Lifetime Achievement Award Nominee Name*

First*

Last*

Lifetime Achievement Award Nominee Graduation Year(s)*

Lifetime Achievement Award Nominee Occupation or Title*

How would you describe the Lifetime Achievement Award nominee’s contributions/positive impact to your local chapter or group?*

Please attach supporting documents, such as the Lifetime Achievement Award nominee’s CV, links to relevant web pages or articles, letters of recommendation from colleagues or professors, and so on. If possible, please attach a high-resolution photo of the nominee. (File size: limit 16 MB.)

Presidents’ Circle of Excellence Award Nominee Name*

First*

Last*

Presidents’ Circle of Excellence Nominee Graduation Year(s)*

Presidents’ Circle of Excellence Nominee Occupation or Title*

How would you describe the Presidents’ Circle of Excellence nominee’s contributions/positive impact to your local chapter or group?*

Please attach supporting documents, such as the Presidents’ Circle of Excellence nominee’s CV, links to relevant web pages or articles, letters of recommendation from colleagues or professors, and so on. If possible, please attach a high-resolution photo of the nominee. (File size: limit 16 MB.)

To whom should this award be mailed?

Name*

First*

Last*

Where should this award be mailed? (Cannot be shipped to a PO Box.)*

Street Address*

Address Line 2

City*

State / Province*

ZIP / Postal Code*

Country*

Name of event at which award will be presented*

Date of event when award will be presented*