Alumni Award Nomination

If you prefer, you may print the Alumni Awards and Recognition nomination form and mail to:

Alumni Relations, DIF 62
Pennsylvania College of Technology
One College Avenue
Williamsport, PA 17701-5799

Your information

First name MI Last name Email

Phone

Nominee information

First MI Last Nominee e-mail address (opt.)

Nominee phone (opt.)

Award selection

I am recommending an alumnus/alumna for the following award/recognition:

Distinguished Alumni Award

Alumni Achievement Award

Alumni Humanitarian/Citizenship Award

Alumnus/Alumna Volunteer of the Year Award

Mentorship Award

Institution

Did they attend...

Williamsport Technical Institute (WTI, 1941-1964)?

Williamsport Area Community College (WACC, 1965-1989)?

Pennsylvania College of Technology (Penn College, 1989-present)?

Nominee major and year of graduation

Major

Nominee major or program name. E.g. Nursing or Computer Science

Year of Graduation

Reason for nomination

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