William & Allene Guthrie Van Meter

Outstanding Alumni Achievement Award

Nomination Form

 

The Award is presented at the annual Donor Appreciation Luncheon. The criteria for the award are as follows:

    z Nominee must be living.

    z Nominee would ideally be 50 years of age or younger

    z Nominee must be a graduate of Labette Community College

    z Nominee must have made significant professional and community service achievements

 

Nominations are accepted throughout the year and should be received by August 1st for consideration for the current year.

 

After completing this form, please press the Submit button to e-mail your nomination to the LCC Alumni Association. Or if you prefer, you may type or write your answers on plain paper and mail to:

LCC Alumni Association

200 South 14th Street

Parsons, KS 67357

 

If you have questions, please e-mail Lindi Forbes at lindif@labette.edu, or telephone the LCC Alumni Association at (620) 820-1212.

 

Thank you for your help with this important project.

Date:

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Nominee's Information

Title: First Name:          MI:

Last Name:        Maiden Name:

Address:       

City:          State:          Zip Code:        Age:

Daytime Phone Number (with area code):        -

E-Mail Address:

Spouse's Name:

Names & Ages of Children:

Colleges & Universities Attended:

Degree(s) and Year(s) Received:

Employer and Location:

Job Title/Assignment:

Previous Employers (include dates, company name, location, title and assignment):

Memberships & Offices (including professional, religious and civic organizations):

Community Activities:

Books or Articles Published:

Military Service & Responsibilities:

Other information you wish to share about the nominee:

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Nominator's Information

Name:

Address:       

City:          State:          Zip Code:

Daytime Phone Number (with area code):        -

E-Mail Address: