Distinguished Alumni Achievement Award
Nomination Form


Deadline for nominations is March 21, 2005 The Alumni Association will select the recipients of this award. The awards will be presented by the Alumni Association at the annual Alumni Brunch, June 12, 2005.

This information is requested to nominate alumni for an award and to update alumni records. It will not be disclosed to anyone outside the Joliet Junior College without the nominee's permission.

If you experience any difficulties with this online form, please contact the Alumni Association at 815 280 6620, or send e-mail to alumni@jjc.edu

INFORMATION ABOUT THE NOMINEE:

Full name (Include name at graduation in parentheses, if different.):

Home street address:
City:
State:
 Zip code:
Joliet Junior College degree(s) received:

 Class year:
College/School/Department/Major:
Nominee's degrees from other colleges/universities:
Present occupation (Include title and company, profession, business address, etc.; if retired, date of retirement.):

State why the nominee deserves this award; list outstanding achievements in chosen field of endeavor and evidence of national or international distinction:

Career since leaving JJC:

Special recognitions, honors or awards:

Publications or patents:

Civic activities, philanthropic endeavors:

Other information of interest:

Nominee's family - name of spouse and children - indicate if any attended/are attending Joliet Junior College and degrees (This information is optional.):

INFORMATION ABOUT THE NOMINATOR

 

Nominated by:

Your address:

Phone number:

 FAX number:

Your e-mail address (Necessary in order to process this form.):

When you submit  this form, the nomination will be processed to the Alumni office and you will be returned to the Alumni Awards page.
This information is requested to nominate alumni for an award and to update alumni records. It will not be disclosed to anyone outside the Joliet Junior College without the nominee's permission.