Awards Nomination Form - Association of Community College Trustees

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Nomination Form

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2008 Awards Nomination Form

Please mark the category in which you are submitting a nomination. You may only select one category per form.

Please complete a separate entry form for each category.

Required fields are designated by a red *

Category* (selection required)
1. Trustee Leadership
2. CEO
3. Equity
4. Faculty Member
5. Professional Board Staff Member
Nominee (please provide information about the nominee below)
1. Prefix
2. *First Name
3. Middle
4. *Last Name
5. Suffix
6. *Title
7. *Name of Institution
8. *Address 1
9. Address 2
10. *City
11. *State
12. *Zip
13. At Least One of the Following is Required
  1. Phone
  2. Fax
  3. Email
Nominator (please fill out with your information below)
1. Prefix
2. *First Name
3. Middle
4. *Last Name
5. Suffix
6. *Title
7. *Name of Institution
8. *Address 1
9. Address 2
10. *City
11. *State
12. *Zip
13. At Least One of the Following is Required
  1. Phone
  2. Fax
  3. Email
Institution’s President (for candidate’s institution)
1. Prefix
2. *First Name
3. Middle
4. *Last Name
5. Suffix
6. *Title
7. *Name of Institution
8. *Address 1
9. Address 2
10. *City
11. *State
12. *Zip
13. Phone
14. Fax
15. Email
Staff Contact (at candidate’s institution)
1. Prefix
2. *First Name
3. Middle
4. *Last Name
5. Suffix
6. *Title
7. *Name of Institution
8. *Address 1
9. Address 2
10. *City
11. *State
12. *Zip
13. At Least One of the Following is Required
  1. Phone
  2. Fax
  3. Email
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2008 Awards Nomination Form