CECH Distinguished Alumni Awards Nomination Form

2023 CECH Alumni Awards Nomination Form

Nominate an alumnus for the CECH Distinguished Alumni Award
Nominee Information*

First NameLast Name
School*

EducationCriminal JusticeHuman ServicesInformation TechnologyUnknown
Class *
Degree*
Major*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Nominee Email*
Phone Number*
Business Name
Business Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Professional Positions held (list position, title, organization and the dates the position was held)

Maximum of 1500 characters.0/1500
Other Degrees and Institutions Granting Degrees
Professional & Volunteer Honors and Awards
Briefly explain why you are nominating this individual. Include information in each of the following categories as applicable:
Professional Accomplishments
Volunteer/Civic Contributions
College/University Activities
Please feel free to add any additional information about the individual you feel may helpful to the Awards Committee.

Maximum of 1500 characters. 0/1500
Nominator Information*

First NameLast Name
Nominator Email*
Phone Number*
Address *

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Thank you for your nomination!

Go Bearcats!
Should be Empty:

2023 CECH Alumni Awards Nomination Form