Awards Nomination Form

Please complete a separate entry form for each nominee. See here for the judging criteria questions.

Category

Please check the category in which you are submitting a nomination.

Institution *

Nominee

Prefix

First name *

Last Name *

Suffix

Title *

Address

Street *

City *

State *

Zip *

Phone *

(xxx) xxx-xxxx

E-mail *

Candidate Options

Please check here if the candidate is unaware of nomination. (optional)

Please check here if the candidate is a past Regional Award recipient. (optional)

Year and Region

Year and region for which previous award was awarded

Nominator

Prefix

First name *

Last Name *

Suffix

Title *

Phone *

(xxx) xxx-xxxx

E-mail *

Institution's President

Prefix

First name *

Last Name *

Suffix

Title *

Phone *

(xxx) xxx-xxxx

E-mail *

Institution's Staff Contact

Prefix

First name *

Last Name *

Suffix

Title *

Phone *

(xxx) xxx-xxxx

E-mail *

To ensure that your awards nomination is processed without delay, check off the following items before submitting nominations.

Cover letter of support from the board

Responses to each criteria question

Resume (optional; no more than two pages - if included, remember that the resume counts in the six-page limit)

Narrative statement (no more than 150 words)

Packet is NO MORE THAN 6 pages (excluding narrative statement)

Upload Files

Cover Letter

Required: After selecting a file, you must click Upload to attach.
Files must be less than 15 MB.
Allowed file types: txt rtf html pdf doc docx ppt pptx xls xlsx xml bz2 dmg gz jar rar sit tar zip.

Criteria Responses

Files must be less than 15 MB.
Allowed file types: txt rtf html pdf doc docx ppt pptx xls xlsx xml bz2 dmg gz jar rar sit tar zip.

Narrative Statement

Files must be less than 15 MB.
Allowed file types: txt rtf html pdf doc docx ppt pptx xls xlsx xml bz2 dmg gz jar rar sit tar zip.

Resume

Files must be less than 15 MB.
Allowed file types: txt rtf html pdf doc docx ppt pptx xls xlsx xml bz2 dmg gz jar rar sit tar zip.

Packet

Files must be less than 15 MB.
Allowed file types: txt rtf html pdf doc docx ppt pptx xls xlsx xml bz2 dmg gz jar rar sit tar zip.

yes

Leave this field blank

Association of Community College Trustees
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The Association of Community College Trustees is the Voice of Community College Leaders

Awards Nomination Form

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Awards Nomination Form