Honorary Alumnus/na Award Nomination Form

Learn more about the Honorary Alumni Award - by clicking here.

For questions, please call 717-871-7551 or 800-681-1855 or email: alumni@millersville.edu

You may also attach any accompanying documents.

Thank you for your submission!

Deadline: The deadline is March 15, 2025.

Honorary Alumni Award

A. Nominee Information
Nominee’s Name: Nominee’s Name: First Last
Address: Address:
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Home Phone Number: Home Phone Number: - ### - ### ####
Email (if known):
B. Nominator Information
Name: Name: First Last
Class Year (if MU grad):
Address: Address:
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Day Phone: Day Phone: - ### - ### ####
Evening Phone: Evening Phone: - ### - ### ####
Preferred Email:
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.
C. Please list any information that can substantiate this nomination—include affiliation, length of service and leadership role or position in said affiliation.
Nominator signature:

Draw or Type

I understand this is a legal representation of my signature. Clear

Full Name

I understand this is a legal representation of my signature.
Date: Date: / MM / DD YYYY
Upload a File

Attach Files

See All Events

See All News