Polaris Award

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Polaris Award of Alpha Phi Nomination Form

Convention 2016

The Polaris Award recognizes alumnae members of the Fraternity whose sustained voluntary effort has advanced the Fraternity's strategic progress and whose service excellence has yielded significant impact in the field.

 
The application will not submit if you are missing information or have incorrect entries below (i.e.an invalid e-mail address). Once the application has been submitted, you will see a confirmation page. If you have any problems submitting the application, please contact Kristen Douglass at kdouglass@alphaphi.org or call (847)-316-8930.

Nominee Information
First Name:*
Maiden Name:
Last Name:*
Collegiate Chapter:*
Initiation Year:
Alumnae Chapter*
Address Line 1:
Address Line 2:
City:
State/Province:
Zip/Postal Code:
Telephone Number:
E-mail Address:

In the file upload box below, please describe how the nominee has fulfilled the criteria for this award in a document, no more than one-page in length that includes the following information:
  • Alpha Phi activities 
  • educational background 
  • professional/civic awards 
  • honors and awards 

Please include dates when possible.

Written Explanation:*
Resume:
Photo:*

Nominator Information
Name of alumnae chapter/alumna nominating the candidate:
Name of member completing this application:*
Address Line 1:
Address Line 2:
City:
State/Province:
Zip/Postal Code:
Collegiate Chapter*
Initiation Year*
Telephone Number:
E-mail Address:*