CVCC HOF - Distinguished Service

Nomination Application

Distinguished Service Category

Deadline: September 26, 2025

The College invites you to nominate an individual for the Hall of Fame in the category of Distinguished Service Award. Please observe the eligibility requirements and complete the information on your nominee. Please do not reveal to your candidate that he or she has been nominated. The candidate will be made aware of his or her nomination only if he or she is selected for the Hall of Fame.

Nominations will not be accepted if the nomination form is not completed in full.

Requirements:

Ø Has notable achievement(s) in career field or public service and/or community.

Ø Has specific service to Chattahoochee Valley Community College.
Nominee Information
HeathTaylor
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Name

First NameLast Name
E-mail*
Home Phone*

Area CodePhone Number
Business Phone

Area CodePhone Number
Other Phone

Area CodePhone Number
Employer (if applicable)
Position/Title
Business Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Nominee Education Background
College/University
Graduate School
Other:
Nominator Information
Nominated By*

First NameLast Name
Phone Number*

Area CodePhone Number
E-mail*
Please tell us why your nominee should be selected for the CVCC Hall of Fame by completing the following information.
List any civic, social or professional organizations in which the nominee currently belongs or has belonged in the recent past. Please note any leadership positions and membership status.*
Describe the nominee's primary professional and/or volunteer contributions to the community that qualify the nominee for this recognition.*
Tell us about any award(s) and/or special recognition(s) received by nominee.*
Describe how the nominee is a positive role model for today's CVCC students.*
Nomination forms must be received in the CVCC Institutional Advancement Office by September 26. Late forms will not be reviewed. All CVCC Hall of Fame nominees and nomination information will be kept confidential. The CVCC Institutional Advancement Office will contact those selected and their nominators after the final selection has been made by our Hall of Fame committee. CVCC Hall of Fame honorees will be recognized for their many achievements the evening of March 5, 2026.
Name

First NameLast Name
Should be Empty:

Nominee Information

Nominee Education Background

Nominator Information

Please tell us why your nominee should be selected for the CVCC Hall of Fame by completing the following information.