Alumnus of the year NOMINATION FORM

Click here for nomination and eligibility requirements.


Name of Person Nominating

Current Address

City, State Zip
,
Home Phone

Business Phone

Cell Phone

Email Address


Name of Nominee

Present Position/Occupation

Current Address

City, State Zip
,
Home Phone

Business Phone

Cell Phone

Email Address

Degree Received:

Name of College

Year Received Major if applicable

Please attach a detailed portfolio/notebook, including the following:
UNDERGRADUATE ACHIEVEMENTS

  • Alumnus ability and achievements in the classroom
    (Ex: G.O.A.L Award Winner, Honor Roll, Community Service, Model Student)
  • Extracurricular Activities
    (Ex: Class or club officer and/or member, honor societies, non-campus responsibilities (Big Brother/Big Sister, Red Cross, etc.)

CAREER ACHIEVEMENTS

  • Professional Accomplishments
  • Contributions to Professional Organizations and Alma Mater (Georgia Piedmont Technical College)
  • Participation in Charitable and/or Community Activities