Alumni Award Nomination

Learn more about Lake Michigan College Alumni Awards.

Nominee

Please provide the following information about yourself or the person you are nominating

First Name

Last Name

Email

Phone

Address

City/Town

State/Province

ZIP/Postal Code

Date of Birth

Dates attended LMC or year graduated

Education

College & Degree Earned

Attended/Graduated

College & Degree Earned

Attended/Graduated

College & Degree Earned

Attended/Graduated

Employment

Current Employer

Position/Title

Description of Job

Other Information

Other Professional Positions

Professional Memberships

Personal Achievements

Civic Memberships and Community Activities

Other Honors and/or Awards Received

Personal Interests and/or Accomplishments

Additional information that may be relevant to this award

Why did you/the nominee choose to attend LMC? Did it fulfill expectations and educational needs? Did you/the nominee participate in any extra-curricular activities at LMC? Did any professor, instructor or staff member of LMC have a particular impact on your/the nominee’s life? Does a particular faculty member stand out and why? How important was LMC in your/the nominee’s career, life, etc.?

References

Resume and/or Photo

Maximum 4 files.
8 MB limit.
Allowed types: gif, jpg, png, bmp, eps, tif, pict, psd, txt, rtf, html, odf, pdf, doc, docx, ppt, pptx, xls, xlsx, xml, avi, mov, mp3, ogg, wav, bz2, dmg, gz, jar, rar, sit, svg, tar, zip.

Nominator

(If you are nominating yourself, skip this section. If you are nominating someone else, please provide your information below.)

Nominator's First Name

Nominator's Last Name

Email

Phone

Address

City/Town

State/Province

ZIP/Postal Code

Relationship to Nominee

I have informed the nominee that I am submitting her/his name for an alumni award.

Yes

No

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