2015 distinguished alumni award nomination form

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CALL FOR NOMINATIONS
2015 Distinguished Alumni Award
DO YOU KNOW an RVCC alumnus who deserves recognition for his or her extraordinary
accomplishments? If you do, this is your chance to recognize that person.
The Distinguished Alumni Award, awarded by the RVCC Alumni Association, will be presented at
the Academic Awards Dinner on Wednesday, May 13th. The Distinguished Alumni Award
recognizes living alumni for their exceptional achievements in the following areas: professional
successes; civic contributions within their local community, state or nation; academic
accomplishments, service to RVCC, and/or personal triumphs.
Qualifications: Nominee received a degree or certificate or earned 30 credits at RVCC and
must be able to attend the Awards Dinner to accept the award.
2015 DISTINGUISHED ALUMNI AWARD NOMINATION FORM
Nomination deadline is March 30, 2015
Name of Nominee____________________________________________________________________
Name at Graduation___________________________________________________________________
Years attended RVCC ___________________Graduated__________ Degree______________________
Address_____________________________________________________________________________
City/State/Zip________________________________________________________________________
Telephone_______________________________________Email:_______________________________
Current Title/Position___________________________________________________________________
Please describe the nominee’s exceptional accomplishments in the following areas. Please attach
additional paper as necessary. (Although not required, you may also include a curriculum vita or
resume, letters of recommendation, and any other relevant supporting documents.
Professional Achievements:
Community Service:
Academic Achievements:
Service to RVCC:
Personal Triumphs:
NOMINATOR CONTACT INFORMATION
Name___________________________________________
Relationship to Nominee___________________________________________________________
Adddress_____________________________________________________________________________
City/State/Zip________________________________________________________________________
Telephone:__________________________________Email____________________________________
Mail:
RVCC Foundation
P.O. Box 3300
Somerville, NJ 08876
Email: Sarah.Costello@raritanval.edu
Questions: 908-526-1200 x8411
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