Alumni Nomination Form | Canisius University

Nominator's Information

Your Name

Your email

Today's Date

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Country

Nominee Information

Name of Nominee

Class Year

DiGamma Honor Society

For the DiGamma Society nomination, describe in detail the following: Alumni - their service towards the advancement of the college. Administrators & Faculty - their service on behalf of the students or alumni.

Distinguished Alumni

For the Distinguished Alumni nomination, describe in detail the nominee's accomplishments as they pertain to his/her chosen career. Please include their Professional Title.

Distinguished Faculty

Years at Canisius College:

Description

For the Distinguished Faculty nomination, describe in detail the nominee's contributions to the academic world and how he/she exemplifies teaching excellence.

Distinguished Senior

Major

GPA

Description

For the Distinguished Senior nomination, describe in detail the nominee's leadership roles and involvement with Canisius College.

Peter Canisius Medal

For the Peter Canisius Medal nomination, describe in detail the nominee's contributions to the educational, spiritual, social, cultural and intellectual advancement of mankind.

Sports Hall of Fame

Sport Played

Years played Varsity Sport

Positions played

Description

For the Sports Hall of Fame nomination, describe in detail the nominee's athletic history and any outstanding athletic achievements. Describe how the nominee's life continues to reflect favorably on the College.

Rev. Paul J. Dugan S.J. Award

For Rev. Paul J. Dugan S.J. Award nomination, describe in detail how this person has benefitted Canisius Athletics by their acts/and or their efforts over a significant period of time.