Jessing Alumnus of the Year Nomination Form

Name of Nominee

Class of

School(s) the nominee attended (check all that apply)

High School

College

Pre-Theology

Theology

Please offer a few sentences explaining why you are nominating this person. You may wish to include a favorite memory of the nominee while at the Josephinum, and how the nominee served the Josephinum while studying here.

Please offer a brief explanation of how the nominee continues to serve the Josephinum and its mission.

If applicable, list any award(s) or recognition(s) the nominee has received for his/her service to the Church.

What three words best describe the nominee?

Using two concrete examples, describe the nominee to someone who has never met him/her.

Other comments:

How may we contact you, if necessary?

Submitted by (optional)

First Last

Class of

Phone