COTC John C. "Jay" Barker Community Service Alumni Award Nomination

COTC John C. "Jay" Barker Community Service Alumni Award Nomination
The John C. “Jay” Barker Community Service Alumni Award
The purpose of this award is to recognize COTC alumni who have made a significant impact on their local community through their leadership, involvement, and service. This award was created in memory of John C. “Jay” Barker (Business Management Technology, 1986) whose incredible dedication to the college and the community epitomize the qualities and characteristics this award seeks to recognize.

Criteria to consider:
• Does the nominee use his/her talents to serve the community?
• Does the nominee personally undertake at least one of the following:
o Serve on a community board or lead a community project?
o Inspire others to volunteer their time and talents?
o Advance the college through their service?
Nominee Information
Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Place of Employment
Email
example@example.com
Phone Number
Please enter a valid phone number.
Nominator Information
Name

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Date

MonthDayYear
Date
Signature

Clear
For this nomination to be considered, you must submit the following:
• Completed Nomination Form
• Documentation to support criteria to consider, including but not limited to a resume and/or written statement explaining how the nominee meets the award criteria.
• If the submission is being written by a family member of the nominee, you must include contact information and a letter of support from a peer and/or supervisor of the nominee.
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If you have questions contact,

Kim Manno, Director of Advancement
1179 University Drive, Newark, Ohio 43055
manno.18@mail.cotc.edu or 740.366.9135
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COTC John C. "Jay" Barker Community Service Alumni Award Nomination

Nominee Information

Nominator Information