View Award Criteria If you have any questions or comments please contact the Alumni Relations Office at (814) 375-4775 or [email protected]. Alumni Award Categories Dave Shaffer Outstanding Young Alumni Outstanding Alumni Lifetime Achievement Distinguished Ambassador Date: CANDIDATE INFORMATION Name: Home Address: Home Phone: Cell Phone: Email: Profession/Occupation: Job Title: Name of Company/Organization: Business Address: Business Phone: Penn State Degree(s): Other Education: Business/Professional Honors and Awards: Memberships or Directorships (past and present): Community Service (including civil, religious, youth, and philanthropic activities): Current Penn State Involvement, Memberships and Activities: Describe how the candidate supports the mission of the Alumni Society and Penn State DuBois overall: Please include any additional information that supports this nomination: NOMINATOR INFORMATION Name: Address: Phone: Email: Submit