AlumniNominination: Columbia College: Alumni Relations

Alumni Award Nomination

Note: All fields marked with * are required.

Nominee Information

First Name

Maiden Name (if applicable)

Last Name

CC Class Year(s)

Home Address

City

State

Zip

Country

E-mail

Cell Phone

Home Phone

I am nominating this person for the following Award:

Distinguished Alumni Award
Professional Achievement Award
Columbia College Service Award
Community Service Award

Please provide information on the nominee’s current or most recent employment. Include information such as significant projects, etc.

Please provide some anecdotes on the nominee’s career history.

Please answer at least one of the following three questions:

1. Please list specific career achievements of the nominee.

2. How has the nominee demonstrated service to Columbia College?

3. How has the nominee demonstrated service to the community or society?

File Uploads

Please upload up to three letters of support or other supporting materials. (eg. Nominee’s resume, news/publications by or about the nominee, brief letters of support from you or the nominee’s colleagues, etc.)

Please upload up to three letters of support or other supporting materials.(2)

Please upload up to three letters of support or other supporting materials. (3)

A photo of the nominee is preferred, but not required.

Nominator Information

Name

Address

City

State

Zip

Country

Phone

E-mail

Columbia College Affiliation

CC Class Year(s) (if applicable)