2015 Honored Alumni Award Nomination Information Criteria for Nomination To be eligible for the nomination, nominee shall: have successfully completed coursework or have graduated from Lincoln Land Community College have achieved outstanding success and distinction in his/her chosen field have demonstrated humanitarian service that has proven beneficial to society have a continued interest in and support of education and community colleges have overcome life’s obstacles have the ability to attend LLCC’s commencement on May 15, 2015
How to Nominate
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. Two letters of reference are required (the nominator must write one of the letters, unless a self-nomination). 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 28,2014. Items to include: Nomination two-page form (required) Two letters of recommendation (required) Supporting documents (optional) Please mail packets to: LLCC Alumni Services PO Box 19256 5250 Shepherd Road Springfield, IL 62794 For additional information, please contact the Alumni Services Office at 217.786.4612 or via email at
[email protected]
2015 Honored Alumni Award Nomination Form
Nominee’s Information Please Print:
Full Name: Maiden Name: Current Contact Information: Mailing Address: City, State, ZIP: Day Phone:
Email
Current Job Position: Current Employer: Program of study at LLCC: Year Started at LLCC:
Graduated?
Yes
No
LLCC Graduation Year:
Associate?
Yes
No
Certificate?
Yes
No
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
2015 Honored Alumni Award Nomination Form
Nominee’s Story Nominee’s Full Name: In 1,000 words or less, please describe how the nominee meets each of the following criteria. Please use additional pages if needed.
1. Outstanding success and distinction in chosen field
2. Humanitarian service that has proven beneficial to society
3. Continued interest in, and support of, education and community colleges
4.
Provides inspirational impact
