Citation Information Form

Congratulations on your selection as an honoree!

So that we might have the most accurate information available as we create your award citation, please complete the following questions. The citation is designed to reflect both factual data and your unique contributions, so please provide as much information as possible.

Name as it should appear on citation

Present employer or associated organization

Professional title

Former companies/associations for which you worked including title and time period

Names of spouse/child(ren), if appropriate

College or university from which you graduated and year of graduation

Degree(s) awarded and year(s) (if appropriate)

Please indicate the ways in which St. John’s University and/or its Vincentian values have impacted your life

Describe your proudest accomplishment(s)

Note any special connection that you may have with St. John’s

Please note your significant achievements in the following categories:

Professional Accomplishments

Personal Accomplishments

Honors and Accolades

Charitable Activities

Please attach a current biography and/or resume

One file only.
256 MB limit.
Allowed types: txt, rtf, pdf, doc, docx, odt, ppt, pptx, odp, xls, xlsx, ods.

If additional information is needed, can we contact you or an associate?

Yes

E-mail

Phone Number