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Alumni Award Nomination
Alumni Award Nomination
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Nominee Name
*
First Name & Last Name
Nominee Address
Nominee Phone
Nominee Email
Nominee field of study
Graduation Year
Campus Attended
McCook
North Platte
Broken Bow
Imperial
Ogallala
Valentine
Current Job Title
Employer
Nominee Contact Information
Professional Achievements
*
Community Service Activities
Support and promotion of Mid-Plains Community College, McCook College Foundation and/or North Platte Community College Foundation
Additional Comments
Nominator Information
Nominator Name
Nominator Address
Nominator Phone
Nominator Email
Notified Nominee
Yes
No
I have notified the nominee of this nomination
I am an alum
Yes
No
Please send letters of recommendation to alumni@mpcc.edu
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