Distinguished Alumni Awards 2026 Nomination Form

DAA 2026 Nomination Form

Nominee Information

Nominee Name
Nominee Name
First Name
Last Name
Maiden Name
Address
Address
City
State/Province
Zip/Postal
Please indicate which award exemplifies the nominee. *
You can find Award descriptions here
We invite you to read about the USJ Core Values.

Maximum file size: 268.44MB

Nominator Information

Nominator Name
Nominator Name
First Name
Last Name
Maiden Name
Address
Address
City
State/Province
Zip/Postal
  • Please include any additional supporting materials for the Distinguished Alumni Award committee to review.
  • Please Note: We are unable to consider anonymous nominations

If you have any questions, please contact Alumni Relations Specialist Amanda Leigh at 860.231.5374 or [email protected].