Jim Hall Outstanding Alumni Award Nomination Form

Jim Hall Outstanding Alumni Award Nomination Form
I would like to nominate the following person for the Iowa Lakes Community College Jim Hall Outstanding Alumni Award:
Recipient Nominee Name

First NameLast Name
Class Year
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email Address
example@example.com
How do you know the Nominee?
Professional achievements/accomplishments:
Contributions to community/region/state/nation:
Examples of community leadership, service, etc:
Additional comments in support of your nomination:
Your Name*

First NameLast Name
Your Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Your Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Your Email Address*
example@example.com
The information on this form will be kept in the strictest confidence. Thank you for your participation.

The award is presented annually at the Iowa Lakes Community College Spring Commencement exercises.
Should be Empty: