Distinguished Alumni Award Nomination Form


After completing this form, please press Submit 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.


Nominee's Information

    Title:
    First Name: MI:
    Last Name:
    Maiden Name:
    Address:
    City: State: Zip Code:
    Year of LCC
    Graduation:
    Daytime Phone Number (with area code):
    E-Mail:
    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:


    Nominator's Information

    Name:
    Address:
    City:
    State:
    Zip Code:
    Daytime Phone
    (with area code):
    E-Mail Address:
       

  • Let Us Hear From You
  • If you have questions or comments, please let us know.

    You may write to us at:

    LCC Foundation
    200 South 14th Street
    Parsons, KS 67357

    Email Lindi Forbes, Executive Director or call (620) 820-1212