Distinguished Alumni Nomination Form

Thank you for taking the time to fill out the Distinguished Alumni Award Nomination Form. The Alumni Leadership Team will use this form to evaluate the nominees and choose from all submissions. Please fill out all required fields and review the form before submitting. The Distinguished Alumni Award will be presented once a year at the Legacy Awards event.

Please review the Legacy Awards webpage before nominating alumni.

If you have questions, please call 407.708.4567 or email alumni@seminolestate.edu

Your Contact Information

Your First Name

Your Last Name

Your Email Address

Your Phone Number

Are you an alumnus(a) of Seminole State College?

Yes

How did you hear about this award? (Select One)

Who referred you?

Nominee Contact Information

Nominee's First Name

Nominee's Last Name

Nominee's Email Address

Nominee's Phone Number

Nominee's Employer and Title

About the Nominee

What level of education has the nominee completed at Seminole State College? (Select Highest Achievement)

Bachelor of Science Degree

Associate in Science Degree

Associate in Arts Degree

Certificate

One or more college-level courses

Graduation date or year attended

Explain your relationship to the nominee. (i.e. Spouse, Friend, Sibling, Professor, etc.)

Explain the nominee's professional achievements

Outline the nominee's demonstrated advocacy in the community and service to society

Describe the impact their support has had on the continued excellence of Seminole State College

Additional information about the nominee you would like to include in your submission.

Thank you. Please review the form and click submit. Please send any supporting documents to alumni@seminolestate.edu

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Distinguished Alumni Nomination Form

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