Alumni Nomination Form

Nominations are accepted year-round and eligible nominees will be kept on file for up to three years. Complete the form below to submit your nomination.

Submitter's Information

First Name

Middle Name

Last Name

Maiden Name

Birthdate

Submitter's Contact Information

Preferred Email

Preferred Phone

Can Corban University text this number?

Yes

No

Mailing Address

Country

Street

City

Region

Postal Code

Alumni Award Nomination

Nominee's Name

Nominee's Maiden Name

Is your nominee an Alum?

Yes

No

Suggested award for your nominee.

Distinguished Alumni of the Year
Must be nominated no earlier than 10 years after graduating or leaving the University.

Distinguished Young Alumni of the Year
Must be nominated within 10 years of graduating or leaving the University.

Outstanding Service to Corban University
10 years (present or past) of exemplary volunteer service to the College/University. May include non-alumni.

Christian Ministry Award
Recognizes long-term service and excellence by an individual(s) in his or her field of ministry/mission. The award is presented to Corban alumni whose career contributions have significantly made a difference in the world for Jesus Christ.

Honorary Alumni Award
Created for the purpose of recognizing and honoring those individuals who,though not alumniof Corban, have demonstrated outstanding interest, commitment, and involvement in the life of the university. Recipients embody the notion that friends of the University, in addition to its alumni, play a significant role in the enhancement of the institution. This recipient perhaps has been mistaken as an alum.

Supporting Documentation

Why are you nominating this person?

Name one or two ministries or organizations your nominee
is associated with.

Include any website or webpage links that feature your nominee.