Alumnus of the Year Nomination Form

The North Central State College Alumni Association is seeking nominations for the Alumnus of the Year award. The Alumnus of the Year will be announced and recognized at the annual Scholarship Luncheon.

Please attach supporting documentation, including two letters of support.

Purpose: To honor the extraordinary contributions of North Central State College Alumni, whose creativity, boldness of purpose, and community involvement, exemplify excellence in our region.

Criteria:

Nominee must be a graduate of NCSC who has demonstrated growth and excellence in their business or profession.
Nominee should have demonstrated a significant contribution(s) in their field, and commitment to the community through leadership by giving of personal time and/or resources.
Nominee should be an example of what can be accomplished from obtaining a degree from NCSC.

Name of Nominee (include maiden name if applicable)

First Last

Address of Nominee

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Phone

Is the nominee

Living

Deceased

Year of NC State Graduation

Program of study

Current Employer

Why do you believe this person should be selected as NCSC Alumnus of the Year?

What contributions of time or resources has this individual made to their community?

How did their degree from NCSC impact their career?

Please attach supporting documents and letters of support

Max. file size: 2 GB.

Your Name and Contact Information

First Last

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Phone