| Fill in this form and print using your browser's print button. |
Fax Attn: Alumni Office (815) 479-7828
or
mail
to: |
| Name of nominee: |
| Year of graduation from MCC: | |
| Degree/certificate: | |
| Field of study: | |
| Academic honors: | |
| Home address: | |
| City, State, Zip | |
| Home phone: | |
| E-mail address: | |
| Which award should we consider this nominee for? (select one) |
| Why does this MCC Alum standout? (ie. Give specific examples of achievements in chosen field, service to community, overcame obstacles, etc.) Limit your response here to 200 characters. Feel free to attach an additional sheet of paper to the form if you need more space to answer this question. | |
| Person nominating MCC alumni for college consideration | |
| Your name: |
| Your address, city, state, zip |
|
| Your phone |
| Contact Kathrine Pfister, Development Coordinator, at (815) 479-7529 or kpfister@mchenry.edu if you have questions or need assistance. |
| << Return to Alumni Award Nomination Requirements |
| 3/14/05 |