MVCC Hall of Fame Nomination Form

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Please elaborate on your candidate's qualifications for this award. Review and complete the nomination form
carefully to assure that responses are comprehensive. Feel free to attach additional information/details to
support your nomination. Nominations must be received by July 31st to be considered.

I wish to nominate the following individual to the MVCC Hall of Fame:

Nominee's Last Name	Nominee's First Name
Address	City
State	Zip
Home Phone	Work
Email

Employer	Title
Business Address	City
State	Zip

Did the Nominee attend MVCC? Yes No Not Sure	Graduation Year / Years of Attendance:
Other Colleges / Business Schools Attended & Degrees Earned:
Business / Professional Achievements
Professional Awards & Honors, Professional Affiliations, Publications:
Civic or Community Involvement:
Past or Present Service to MVCC:
Contributions to the growth, development and success of MVCC Athletics:
Personal Achievement/Accomplishments:
Why you are nominating this individual for the MVCC Hall of Fame:

Nominator's Information

Nominator's Last Name	Nominator's First Name
Address	City
State	Zip
Home Phone	Work
Email

I authorize my name to be released as the nominator. Yes No