Alumni Award Honoree Information Form

Thank you for taking a few minutes to complete this biographical information form!

Name as you'd like it to appear on your award and in the printed program*
Phonetic Pronunciation of Your Name*
Otterbein Degree(s)
Otterbein Class Year(s)
Campus involvement while a student (athletics, clubs, organizations, Greek life, etc.)
Name(s) and Class Year(s) of any children who attended Otterbein
Name(s) and Class Year(s) of any grandchildren who attended Otterbein
Preferred Phone Number*
Preferred Email Address*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Current Employer (or most recent if retired)*
Current Job Title (or most recent if retired)*
Can we share news of your award on Otterbein Social Media accounts? (Facebook, Instagram, LinkedIn)
- Yes
- No
Facebook Account Link
Instagram Account Name
LinkedIn Account Link
Head Shot
Max. file size: 1 MB.
Please upload a professional head shot for the printed program.
Resume
Max. file size: 1 MB.
Please upload your most current resume.