Awards and Recognition 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 Contact Information

Name First
MI (opt)
Last

E-mail
Phone (optional)

Nominee

Nominee's name First
MI (opt)
Last

Nominee's e-mail (optional)
Nominee's phone (optional)
I am recommending an alumnus/alumna for the following award/recognition:

Distinguished Alumni Award –
Alumni Achievement Award –
Alumni Humanitarian Award –
Mentorship Award –

Did they attend...

Williamsport Technical Institute (WTI, 1941-1964)?
Williamsport Area Community College (WACC, 1965-1989)?
Pennsylvania College of Technology (PCT, 1989-present)?

What program? (optional)
What year(s) (if you know)? (optional)
Reason(s) for nominating this person