2017 Honored Alumni Award Nomination Information The Criteria Nominees will be judged on the following criteria: Role Model—Inspiring excellence in others Outstanding Success—Significant career or personal achievements Impact—Accomplishments which have changed the community for the better Community Service—Demonstration of a visible commitment to the community through leadership and/or volunteerism Additional criteria: Nominee must have successfully completed coursework from Lincoln Land Community College If selected, nominee must be able to attend LLCC’s commencement on May 12, 2017
The Process
Anyone may nominate a Lincoln Land Community College alum for this award by completing the attached form. This form may be copied or you may print the form online by visiting www.llcc.edu/alumni and clicking Honored Alumni Award. No more than two pages of supplemental materials may be submitted with nomination. (i.e., news articles, brochures, photos) Upon nomination, the nominee will be contacted to confirm acceptance of nomination, and to obtain additional information. Nominees will remain in a pool of candidates for three years from receipt of nomination. An individual may receive the Honored Alumni Award only once.
Submittal Instructions
Nomination packets must be post-marked on or before November 30, 2016. Items to include: Nomination form (required) Supporting documents (optional)
Please mail packet to:
For additional information, please contact the Alumni Services Office at 217.786.4612 or via email at
[email protected].
LLCC Alumni Services PO Box 19256 5250 Shepherd Road Springfield, IL 62794
2017 Honored Alumni Award Nomination Form
Nominee’s Information Please Print:
Full Name: Maiden Name: Current Contact Information: Day Phone: Email: City, State: Current Job Position:
Nominee’s Story In 1,000 words or less, please include a narrative explaining how you feel the person you nominated meets the following criteria.
Role Model—Inspiring excellence in others Outstanding Success—Significant career or personal achievements Impact—Accomplishments which have changed the community for the better Community Service—Demonstration of a visible commitment to the community through leadership and/or volunteerism
Nominator’s Name: Mailing Address: City, State, ZIP: Day Phone:
Email:
As the nominator, may the Alumni Services Office disclose your name to the nominee?
Yes
No
Have you taken a minimum three credit hours at LLCC?
Yes
No
If so, would you like to receive newsletters and monthly Alumni email blasts?
Yes
No
