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

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