Alumni Award Nomination

Learn more about �黨�ǿ�mv 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.
100 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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