Loyal Service Award Nomination Form

Rising Star Awards Nomination Form
Please fill out the form to nominate an individual for the McKendree Alumni Association Rising Star Awards. These awards are presented to alumni who have graduated from McKendree within the past decade. These awards are presented to individuals who have made significant achievements in their professions, or chosen fields, and have demonstrated a high level of involvement in McKendree and in their respective communities.
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)

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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
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Lebanon, Illinois 62254

(618) 537-4441

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Rising Star Awards Nomination Form