Harford Community College Distinguished Alumni Award Nomination Form

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Harford Community College Distinguished Alumni Award
Nomination Form
The Distinguished Alumni Award was established to honor Harford Community College alumni
who have excelled personally and professionally while maintaining an interest and commitment
to the College.
Nominee Information
Name
Home Address
Phone Number
E-mail
Business Name or Occupation
Position Title
Business Address
Degree(s) Earned/Area of Study at HCC
Class Year
Last Year Attended
Degree(s) Earned From Other Institutions
Is the nominee available to attend the College’s commencement ceremony on May 26, 2016? Yes
No
Nominator Information
Name
Relationship to the Nominee
Phone
E-mail
Supporting Information
In no more than 250 words, please explain how the nominee has excelled in the following areas:
 Outstanding success and distinction in their chosen field/profession
 Commitment to the community and charitable outreach
 Continued interest and service to Harford Community College
Please attach the nominee’s current resume and/or vitae.
Nomination Submission
Return the nomination form and all supporting information by January 29, 2016 to:
Harford Community College
Office of College & Alumni Development
401 Thomas Run Road
Bel Air, Maryland 21015
If you have any questions, please contact JeanMarie Krygowski at 443-412-2102 or jkrygowski@harford.edu.
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