CVCC HOF - Distinguished Alumni

Nomination Application

Distinguished Alumni Category

Deadline: October 15, 2021

The College invites you to nominate an individual for the Hall of Fame in the category of Distinguished Alumni Award. Please observe the eligibility requirements and complete the information on your nominee. Please do not reveal to your candidate that he or she has been nominated. The candidate will be made aware of his or her nomination only if he or she is selected for the Hall of Fame.

Nominations will not be accepted if the nomination form is not completed in full.

Requirements:

Ø CVCC graduate or earned 30 semesters or 45 quarter hours.

Ø Has notable achievement(s) in career field or public service.

Ø Has specific service to the College service area, community of residence, and/or Chattahoochee Valley Community College.
Nominee Information
Nominee *

First Name Last Name
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
E-mail *
Home Phone *

Area Code Phone Number
Business Phone

Area Code Phone Number
Other Phone

Area Code Phone Number
Employer (if applicable)
Position/Title
Business Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Nominee Education Background
College/University
Graduate School
Other:
Nominator Information
Nominated By *

First Name Last Name
Phone Number *

Area Code Phone Number
E-mail *
Please tell us why your nominee should be selected for the CVCC Hall of Fame by completing the following information.
Please list any civic, social or professional organizations in which the nominee currently belongs or has belonged in the recent past. Please note any leadership positions and membership status. *
Please describe the nominee's primary professional and/or volunteer contributions to the community that qualify the nominee for this recognition. *
Please tell us about any award(s) and/or special recognition(s) received by nominee. *
In what way(s) is the nominee a positive role model for today's CVCC students? *
Nomination forms must be received in the CVCC Institutional Advancement Office October 15. Late forms will not be reviewed. All CVCC Hall of Fame nominees and nomination information will be kept confidential. The CVCC Institutional Advancement Office will contact those selected and their nominators after the final selection has been made by our Hall of Fame Committee. CVCC Hall of Fame honorees will be recognized for their many achievements in the Spring of 2022.
Should be Empty:

Nominee Information

Nominee Education Background

Nominator Information

Please tell us why your nominee should be selected for the CVCC Hall of Fame by completing the following information.