Alumni Nomination Form

Deadline for nominations will be Friday, April 1, 2016.

(* Required Fields)

Nominee Information

Nominee Business Address




Nominee Home Address
















Please provide a statement about how the nominee has made a positive impact on the community and/or their public service involvement.   Please be specific. (Maximum Allowed: 1500 characters)

Other Comments:
Nominated By:


Nominee Business Address






If you would like to add additional information about the MCC Alumni being nominated for the 2016 Distinguished Alumni Award, please email the documents to alumni@mchenry.edu.

If you have any questions regarding the nomination criteria or form, please contact the Foundation Office at (815) 455-8556.

Submission
201656192521443