Nomination Form

The Rossman School Distinguished Alumni Award recognizes men or women, living or deceased, who by outstanding achievement exemplify the values taught by Rossman School throughout its 90+ years — leadership, citizenship, creativity, humanity and love of learning.

The Criteria The selection committee will judge the nominations against the following criteria:
- The nominee was a Rossman School student for any period of time as a member of a class which has since graduated. the nominee may be living or deceased.
- The nominee has achieved one or more of the following:
     Extraordinary achievement within his or her professional or personal life
     Significant impact in his or her area of activity
     Outstanding leadership
     Exceptional creativity.

Qualifying Achievements Agriculture, Architecture, Business, Community Service, Ecology, Economics, Education, Entertainment, Fine Arts, Government, Journalism, Law, Literary Arts, Medicine/Health, Military, Philanthropy, Recreation, Religion, Sciences, Social Services, Sports/Athletics, Volunteerism, Youth Support.

Rules for Nomination Please — use this form, or open the PDF to complete and submit from your PC or mail this form, for the nomination — type the information in the spaces provided — submit the online form, or mail the printed PDF Form to Distinguished Alumni, Rossman School, 12660 Conway Road, St. Louis, MO 63141-8625.

Your First Name

Please provide your first name

Your Last Name

Invalid Input

Address

Invalid Input

City

Invalid Input

State

Invalid Input

Zip Code

Invalid Input

Phone Number

Please provide a valid phone number

Email Address

Please provide a valid email address

Nominee Name

Please provide nominee's name

Maiden Name

Invalid Input

Nominee Address

Please provide the nominee's address.

Nominee City

Invalid Input

Nominee State

Invalid Input

Nominee Email

Invalid Input

Please refer to the criteria above when planning your statement. Include unusual aspects of the nominee's efforts that the selection committee should consider.

Invalid Input

You may optionally choose to open the Distinguished Alumni Award PDF Form by clicking here, completing the form and submitting directly from your PC or mailing the completed form to Rossman School.