Distinguished Fellows Nomination Form

History of Mont Alto Distinguished Fellows

The Distinguished Fellow Recognition Award originated from the Penn State Mont Alto’s Campus Centennial Celebration held in 2004. To commemorate this milestone in the campus’s history, 100 Mont Alto alumni were selected and honored as Centennial Fellows. These Fellows were selected for their outstanding contributions to their respective professional careers, their industries, and their local communities following their graduation from Penn State.

To perpetuate this important alumni recognition milestone, Penn State Mont Alto continues to annually recognize select alumni as Distinguished Fellows. Distinguished Fellow selection continues to be based on alumni’s outstanding achievement following their graduation from Penn State, including their contributions to their respective professional careers, their industries, and their local communities.

Making A Distinguished Fellow Nomination

Distinguished Fellow nominations are accepted year-long and reviewed annually each April by a campus selection committee. To facilitate the review process and the consistency of nominations, written Distinguished Fellow nominations should follow the format outlined below for length and content.

You have two choices for submitting your nomination:

Please print this page, answer the questions below by filling in the fields (please feel free to add an additional page if you need it), and mail to the address listed.
Or, you can use your computer to type your answers to the questions in the fields provided, and then click the button at the bottom to send your nomination through email directly to the committee. You'll receive your own copy of your submission through email if you choose this option.

Nomination Mailing Address

Distinguished Fellow Awards Committee
Penn State Mont Alto Alumni Office
One Campus Drive
Mont Alto, PA 17237

Please direct questions to the Penn State Mont Alto Alumni Office at 717-749-6105.

Distinguished Fellow Nominee

Nominee’s Full Name (First, Middle, Last)

Nominee’s Home Address (Street Number, City & State)

Nominee’s Current Telephone Number (Include ZIP)

Nominee’s Current E-mail Address

Year(s) graduated from or attended the Penn State Mont Alto Campus

Please complete this nominee information as it pertains to Penn State:

• Major(s): • College(s): • Degree(s):

Nominee’s Current and Past Penn State activities:

Nominee’s membership in a Penn State fraternity, sorority, alumni group, or other recognition awards:

Nominee’s education and degrees from other institutions:

Nominee’s Business Title/Address:

Nature of Nominee’s Business/Profession:

The Nominee’s business/professional honors, awards, and achievements:

Community service, honors, and awards (include civic, religious, youth and philanthropic activities):

Nominator’s statement regarding why the nominee, other than professional or personal accomplishments and activities reflected on this form, should be selected as a Distinguished Fellow:

Maximum of 300 words:

Information about person completing this nomination form:

Full name of nominator:

Nominator’s current e-mail address:

Nominator’s current mailing address:

Nominator's current telephone number: