Alumni of the Year Nomination Form

DEADLINE: The deadline for nominations for the 2011 Alumni of the Year Award is Feb. 28, 2011.

CRITERIA: The judging panel will consider nominees based on the following criteria:

Has the nominee used the leadership skills that were nurtured at Cape Cod Community College to innovate, create and excel in his/her chosen career or the community-at-large including but not limited to notable publications and productions? (40 pts)
Is there evidence that the nominee practices a high level of ethical conduct and social responsibility, including volunteerism? (30 pts)
Has the nominee demonstrated a commitment to and participation in higher education? (20 pts)
Has the nominee demonstrated a continuing interest in and support of Cape Cod Community College and/or its Alumni Association through a contribution of time, talent, or resources? (10 pts)


*Tell us about the person you are nominating for this award ( Required Fields):**
Prefix (Mr., Ms., Dr., etc.):
First Name *:
Last Name *:
Street Address *:
City *:
State *:
Zip Code *:
Country *:
Home Phone *:
Cell Phone:
Employer:
Title:
Work Phone:
Name While Student *:
Year Graduated/Attended *:
Degree/Program:
Email *:
Educational Achievements *:
Professional Achievements *:
Personal Achievements *:
Community Involvement *:
Support of the College *:
Other Comments *:
Tell us about yourself (if nominating someone other than yourself):
Prefix (Mr., Ms., Dr., etc.):
First Name *:
Last Name *:
Street Address:
City:
State:
Zip Code:
Country:
Home Phone *:
Cell Phone:
Work Phone:
Email *:
If CCCC Alum, Year Graduated: