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

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