Honorary Alumnus/na Award Nomination Form

For questions please call 717-871-7551 or 800-681-1855 or

email: mualumni@millersville.edu

You may also attach any accompanying documents.

Deadline: The deadline is February 23.

Honorary Alumni Award

Honorary Alumni Award

  • A. Nominee Information

  • Nominee’s Name: Nominee’s Name: *
  • Address: Address: *
  • Home Phone Number: Home Phone Number: * - -
  • B. Nominator Information

  • Name: Name: *
  • Address: Address: *
  • Day Phone: Day Phone: * - -
  • Evening Phone: Evening Phone: * - -
  • MUAA Honorary Alumni Award

    This is an award presented by the MU Alumni Association to individuals (non-alumnus) who has performed continuous exemplary service to the University or made significant contributions of time, talent or wealth to the University. Living persons who are not classified as an alumna/us, per University policy are eligible for this award. Nominations shall be sought from members of the Alumni Association and can be made by any person.

  • Draw or Type
    I understand this is a legal representation of my signature. Clear
  • Date: Date: * / /
    Pick a date.