Distinguished Alumni Nomination Form

 

Nominee's Full Name:
Address:
City:
State:
Zip:
Email address:
Telephone number:
Date of Birth:
Dates attended SPC:
Degrees attained at SPC:  A.A.
 A.S.
 A.A.A.
 A.A.S.
 A.A.T.
 Certificate

Year of graduation:

Major area of study:

Transfer Institution, if applicable:

Other Degrees Earned:

Current Place of Employment:

Address:
City:
State:
Zip:

Title or Position:

Notable Career Achievements:

 

General Employment History:

 

Awards or Honors:

 

Marriage Status? Yes 
No

Spouse's Name:

Nominee's nearest relative:

Telephone number:
City:
State:
Zip:

Nominated by:

Email address:
Telephone number:
Date:


Please email resumés or vitaes to Stephanie Smith, Alumni Coordinator, at slsmith@southplainscollege.edu.

 


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