Distinguished Alumni Nomination Form

A Distinguished Alumni of Texas A&M University-Texarkana is someone who:

  • Is a former student of A&M-Texarkana
  • Has received special recognition by their peers or colleagues in their chosen areas of business or professions
  • Brings honor to A&M-Texarkana through their endeavors in civic, social philanthropic, public or volunteer service activities
  • Has accomplished deeds which reflect the values of, and loyalty to, A&M-Texarkana
  • Is of such integrity, stature, and demonstrated ability that faculty, staff, students and alumni of A&M-Texarkana will take pride in, and be inspired by their recognition as Distinguished Alumni.
Please Type or Print the Following Information:

Name of Alumnus being Nominated
Nominee's Address
Nominee's Phone Number
Profession of Nominee
Nominee's Current Employer
Date of Degree
Degree Name
Nominator's Name
Nominator's Phone
Nominator's Address
Nominator's E-mail Address



State law requires that you be informed of the following: (1) you are entitled to request to be informed about the information about yourself collected by use of this form (with a few wexceptions as provided by law); (2) you are entitled to receive and review that information; and (3) you are entitled to have the information corrected at no charge to you.