Cockrell School of Engineering
The University of Texas at Austin


Nomination Form

Distinguished Alumni Nomination Form
  1. Help us recognize outstanding UT PGE alumni with a nomination. By completing the form below, you will provide the UT PGE Alumni Committee with information needed to select the 2017 honorees. All nominations will be considered for selection in 2017 and those not chosen for recognition will be carried forward for future consideration.

    Nominate an outstanding UT PGE alumnus or alumna today!

    Requirements
    • Candidates must hold a B.S., M.S. or Ph.D. from UT PGE
    • Candidates should have outstanding contributions to the oil and gas industry and to UT PGE
  2. Your Information
  3. First Name(*)
    Please add a value for First Name.
  4. Last Name(*)
    Please add a value for Last Name.
  5. Email(*)
    is not a valid e-mail address.
  6. Honoree Information
  7. First Name(*)
    Please add a value for First Name.
  8. Last Name(*)
    Please add a value for Last Name.
  9. Company
  10. Job Title
  11. City of Residence
  12. Graduation Year
  13. Why should this person be recognized as a UT PGE Distinguished Alumni?(*)
    Please add a value for Explanation of Nomination.
  14. Please enter the letters below into the box:(*)
    Please enter the letters below into the box:
  15. * Required fields.