First Name Required
Preferred First Name Required
Last Name Required
Maiden Name
Year of Graduation Required
Birth Date Required
Primary Address Line 1 Required
Primary Address Line 2
City Required
State Required
Zip Required
Home Phone Required
Mobile Phone Required
Preferred E-mail Address Required
Ethnicity:
Race: (check all that apply)
First-Generation College Student: (parents/legal guardians have not completed a bachelor’s degree)
Person With Disability:
Current or Former Military Service:
Member of the LGBTQ+ Community:
Address Line 1
Address Line 2
City
State
Zip
Start Date of Residence When will you begin to reside here?
End Date of Residence When will you end your residence here?
Retired I am retired from this position
Retirement Date
Current Employer
Job Title
Work Address Line 1
Work Address Line 2
Work City
Work State
Work Zip Code
Work Phone
Institution 1
Major/Field
Degree
Graduation Date
Institution 2
Career Cluster Choose the group(s) that are most closely related to your area of expertise.
Marital Status
Date of Marriage
Spouse is deceased
Date of Death
Spouse First Name
Spouse Last Name
Spouse Maiden Name
Spouse Class Year If Gustavus graduate
Children's Names/Birth Dates please include grade years if applicable
Family members who have attended Gustavus (please indicate relationship to you)
News to share with classmates
The Distinguished Alumni Citation recognizes outstanding and exceptional career achievement by graduates of the College. Criteria appropriate to selection shall include the difficulty of accomplishment; quality, creativity, and distinctiveness of performance; recognition by peers; and lasting contribution to the world of ideas and affairs. Humanitarian achievements may also be weighed.
Nominee First Name
Nominee Last Name
Nominee Maiden Name
Nominee Class Year
Nominee Accomplishments Please list nominee accomplishments that qualify the nominee for this award.
Do not publish my information Information included on this questionnaire may be published in the Gustavus Quarterly or class letters. Please check this box if you would prefer your information not be published and we will simply update our records (demographic/identity information is always confidential and for internal purposes only).