Alumni Nomination Form

(* Required Fields)

Nominee Information First Name:*
Last Name:*
Year of Graduation from MCC:
Degree/certificate:
Field of Study:
College Involvement: Clubs, Athletics, Academics, etc.*

Street Address:*
City:*
State:*
Zip Code:*
Phone:*

Home Cell Work

Email Address:*
Confirm Email Address:*
Which award should we consider this nominee for? (select one):*

Why does this MCC alum stand out? Provide specific examples of achievements in chosen field, service to community, overcoming obstacles, etc. Limit your response to 200 characters. *
A brief statement (up to 500 words) describing how the nominee's life has been shaped by a community college education. You can also copy and paste text from your word document.

Person Nominating MCC Alumni for College Consideration First Name:*
Last Name:*
Street Address:*
City:*
State:*
Zip Code:*
Phone*

Home Cell Work

Email Address:*
Confirm Email Address:*

Submission

You will need to submit additional paperwork*. Please see nomination requirements ⇒

Confirmation Code: 2012516231833122

Enter the above Confirmation Code:

*Additional support paperwork should be sent to:
MCC Alumni Office
Attn: Kathrine Pfister, Development Coordinator
8900 US Highway 14,
Crystal Lake, IL 60012

You can also fax to (815) 479-7828 or email to Kathrine Pfister

Contact Kathrine Pfister, Development Coordinator, at (815) 479-7529 for questions or assistance.