123 Reynolds Alumni Center * Columbia, 65211 * 800-372-6822

Henry S. Geyer Award for Public Service

N O M I N A T I O N

The Mizzou Alumni Association invites nominations for the Henry S. Geyer Awards for Public Service to Higher Education. This award recognizes the work of two individuals, one public official and one private citizen, who have made significant positive impacts on higher education and on the . Note: Nominees do not have to be alumni of Mizzou.

Please return this form by September 27, 2019, to:

Mizzou Legislative Network C/O Mizzou Alumni Association 123 Reynolds Alumni Center Columbia, MO 65211 Or Fax to: (573) 882-5145 Or Email as an attachment to: [email protected]

This nomination is for: public official private citizen

Nominator Information:

Name of Nominator:

Name of organization nominator represents:

Mailing Address:

City: State: Zip:

Phone: E-mail

2019 Geyer Nomination 1 of 4 Nominee Information:

Name of Nominee:

Mailing Address:

City: State: Zip:

Phone: E-mail:

Please include the following with this nomination form: • A summary describing the nominee’s career accomplishments (no more than one page, single- spaced) • A summary describing how the nominee has contributed to the improvement of higher education and Mizzou (no more than one page, single-spaced) Two additional pages are included for your use in submitting a nomination.

Awardees will be selected in the fall of 2019 and presented with their awards at a reception in early 2020 in Jefferson City.

PAST RECIPIENTS

2018: Lieutenant Governor and Dr. David Russell 2017: Representative Nate Walker and Gary Smith 2016: Senator Dan Brown, Representative Donna Lichtenegger, and M. Sean McGinnis 2015: Senator and Warren Erdman 2014: Senator and Wally Pfeffer 2013: Representative Mike Thomson and Chancellor Emeritus Brady Deaton 2012: Senator David Pearce and Steven Dickherber, Ben Levin and Zach Toombs 2011: Representative Chris Kelly and Gary Forsee 2010: Senator Kurt Schaefer and Sam Hawkins 2009: Representative Gayle Kingery and Christine Koukola 2008: Congressman Ike Skelton and Ed Turner 2007: Senator Charlie Shields, Senator Chuck Gross and R. Barnes Whitlock 2006: Representative Bryan Pratt, Representative Brian Yates and Richard Mendenhall 2005: Senator Chuck Graham and James C. Sterling 2004: Senator John Russell and Dudley McCarter 2003: U.S. Congressman Kenny Hulshof and Dr. Hugh Stephenson Jr., M.D. 2002: Representative Ted Farnen and Harry Cornell 2001: Secretary of State Bekki Cook and Dr. Al Hahn 2000: Representative Emmy McClelland and Dr. Melvin George 1999: Senator Christopher "Kit" Bond and Everett Brown 1998: Senator Ken Jacob and Chris Kelly 1997: Representative Steve Gaw and Dr. David Leuthold 1996: Senator Joe Moseley and Dr. Charles McClain 1994: Governor Mel Carnahan and Fred Hall

2019 Geyer Nomination 2 of 4 1993: Lt. Governor Roger Wilson and John Phillips 1992: Senator James Mathewson and Bert Bates

2019 GEYER NOMINATION

This page is a summary of the nominee’s career accomplishments.

2019 Geyer Nomination 3 of 4

This page is a summary of the nominee’s contributions to higher education.

2019 Geyer Nomination 4 of 4

2019 Geyer Nomination 5 of 4