Academy of Excellence Nomination Form

Academy of Excellence Nomination Form
Please fill out the form to nominate an individual for the McKendree Alumni Association Academy of Excellence Awards. These awards are presented to alumni who, through achievement, leadership and character, have made exceptional contributions to the honor and prestige of McKendree University. These awards are presented to individuals who, in their professions, have demonstrated the values imparted through a liberal arts education. Recognition will be given in the following eight fields of endeavor.
Name*

First NameMiddle NameLast NameSuffix
Email*
example@example.com
Phone*
Nominee Name (include maiden name if applicable)
Nominee McKendree Class Year
McKendree Degree
Nominee Email
example@example.com
Nominee Phone
Nominee Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Degree(s) from Institution Other than McKendree
Occupation
Business Title
Attach nominee's CV/resume (optional)

Cancelof
Attach letter of support (optional)

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What field do you recommend your nominee for consideration?
Professional involvement
Special honors & recognition
McKendree related activities
How does the nominee's work and/or accomplishments reflect the value of his/her McKendree education?
What significant achievements has the nominee made in his/her profession?
Why should this individual be considered for the McKendree Academy of Excellence Award?
Nominator's McKendree Affiliation and/or Relation to Nominee?
Do we have permission to contact you with further questions regarding your nomination?

YesNo
McKendree University

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Lebanon, Illinois 62254

(618)537-4441
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