Rensselaer Alumni Hall of Fame Nomination Form

The Selection Committee will consult the following criteria to select the nominees:

  • To recognize formally, in an appropriate manner, the most outstanding and far-reaching accomplishments of Rensselaer alumni;
  • To boost pride in Rensselaer among current students, faculty, administration, and the entire Rensselaer community;
  • To enhance the reputation of Rensselaer among potential students and their parents, potential faculty and staff, as well as the general community;
  • To provide a continuing symbol of the long-standing and continuous accomplishments of the Rensselaer community worldwide.

To learn more about the program and past nominees, please visit the Rensselaer Alumni Hall of Fame website.

Please note that all fields marked with a red asterisk (*) are required fields.  Submissions received without complete information will not be considered. If you need assistance completing the form, please contact the Office of Alumni Engagement via email or by calling (518) 276-6205.

Indicates required field
Name of nominee
Nominee name in which degree was awarded.
Is the nominee still living?
If the nominee is still living and you have information such as their mailing address, email, and phone number, plesae enter it here.
Does this nominee meet the following criteria? (Please select all that apply.)
Reputation
If you indicated that the nominee meets the reputation criteria, please explain:
Professional achievements
If you indicated that the nominee meets the professional achievements criteria, please explain:
Contributions/service (to humanity, a specific field of endeavor, unique niche area)
If you indicated that the nominee meets the contributions/service criteria, please explain:
Uniqueness
If you indicated that the nominee meets the uniqueness criteria, please explain:
If there is anything else you would like to add regarding this individual's nomination to the Rensselaer Alumni Hall of Fame, please enter it here:
Name
Address
City/Town
State/Province
ZIP/Postal Code
Class year
Phone number
Nominator Status
Class Year
Would it be okay for the co-chairs of the Rensselaer Hall of Fame to contact you about this individual to gather more information on their nomination?
Leave this field blank
Back to top