Alumni Awards Nomination Form

Thank you for your support of the Columbia College Alumni Association. Submissions are received throughout the year for future consideration.

Along with the nomination form below, please submit up to three supporting materials. Samples include the nominee’s resume, news/publications by or about the nominee, brief letters of support from you or the nominee’s colleagues, etc. A photo of the nominee is preferred, but not required. Materials may be mailed to Office of Alumni Relations, 1001 Rogers St., Columbia MO 65216 or emailed to ccalum@ccis.edu.

Nominate Outstanding Alumni

Nominee Information

First Name: *

Maiden Name (if applicable):

Last Name: *

CC Class Year(s)*

Home Address:*

City: *

State: *

Zip:*

Email:

Preferred Phone Number: *

I am nominating this person for the following Award:

Distinguished Alumni Award

Professional Achievement Award

Columbia College Service Award

Community Service Award

Jane Froman Courage Award

Please provide information on the nominee's current or most recent employment. Include information such as significant projects, etc.

Please provide some anecdotes on the nominee's career history:

Please answer at least one of the following questions:

1. Please list specific career achievements of the nominee:

2. How has the nominee demonstrated service to Columbia College?

3. How has the nominee demonstrated service to the community or society?

4. How has the nominee demonstrated perseverance to overcome personal obstacles or displayed a spirit of courage in daily life?

Nominator Information