Dr. Ralf J. Thomas Distinguished Service Award Nomination Form

The Pittsburg State University Alumni Association established the Distinguished Service Award in 1991 and presented the first award later that year. In July 2000, it was re-named the Dr. Ralf J. Thomas Distinguished Service Award in memory of retired faculty member, Dr. Thomas. He volunteered his service to the PSU Alumni Association for 22 years and was the first recipient of the award in 1991. These Distinguished Service Award recipients have generously given their time and talent for the betterment of the University and are an inspiration to all of us who love this University.

Candidates for this award should have rendered significant volunteer service to Pittsburg State University. The candidate's record of volunteer service to PSU may include (but is not limited to): PSU Alumni Association, PSU Foundation, PSU Athletics, academic departments, student service programs, etc. Completed nominations received before December 1st will be considered for the next presentation.

For additional information, please contact PSU Alumni & Constituent Relations at 620-235-4758, 1-877-PSU-ALUM or email [email protected].

Your Name (Nominator)

Your Email

Is the nominee aware that you are nominating them?

Yes, they know I am submitting this nomination
Yes, I am nominating myself
No, and if they are selected, I would like to remain anonymous
No, but if they are selected, please share my name

Who are you nominating (Nominee)?

Phonetic Name Spelling/Pronunciation

Nominee's Current Address

Email (if known)

Phone Number (if known)

Yes, it's okay to send me text messages including confirmations, changes, and updates. Message frequency varies. Message and data rates may apply. View our terms of service & privacy policy.

Nominee's Current Employer and Occupation

Spouse Name (if applicable)

Record of Service to Pittsburg State University

Reasons for Nomination

The following information is to be used in a press release if selected:

Hometown

Names of family members (parents, children, etc.)

Newspaper to send press releases to (name, address, phone number)

Under our privacy policy, we do not sell personal information or use it for purposes other than the support of PSU. For questions, please call us Monday through Friday 8:00 a.m. to 4:30 p.m. CST at 620-235-4758. We can also be reached at [email protected]. Thank you for supporting PSU!

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