Loyal Service Award Nomination Form

Loyal Service Award Nomination Form
Please fill out the form to nominate an individual for the McKendree Alumni Association Loyal Service Award. This award is presented to honor an alumna or alumnus who has shown distinguished, loyal service to the McKendree Alumni Association and its principles and purposes. This award was established to recognize an alumni whose commitment has enhanced the goals and mission of the University.
Name

First NameMiddle NameLast NameSuffix
Email
example@example.com
Phone
Nominee Name (include maiden name if applicable)
Nominee McK 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 institutions other than McKendree
Occupation
Business Title
Attach Nominee's CV/Resume (optional)

Cancelof
Attach Letter of Support (optional)

Cancelof
Professional Involvement
Special Honors & Recognition
McKendree Related Activities
List examples of other community involvement
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 Loyal Service 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

701 College Road

Lebanon, Illinois 62254

(618) 537-4441

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