Outstanding Alumnus Nomination

Each Year the CVCC Alumni Friends Association sponsors an Outstanding Alumnus Award. To be eligible for consideration, a nominee must have done at least one of the following:

completed a degree, diploma or certifcate;
completed at least 15 semester hours of course work numbered 100 and above, or
been a curricular student and completed 25 percent of the requirements.

Criteria for selection: The recipient of this award has distinguished himself/herself through outstanding achievement in professional, academic, or personal life, or in service to Central Virginia Community College, as judged by the Alumni Board.

To receive a paper nomination form, write:

Catherine Rice
3506 Wards Road
Lynchburg, VA 24502

call 434.832.7619, email ricec@cvcc.vccs.edu or fill out and submit the electronic form below.

Outstanding Alumni Nomination Form
Background Information on Nominee
First Name	M.I.	Last Name

Award Received	Major	Year	Dates Attended CVCC

Spouse's Name	Names & Ages of Children

Home Address	Home Phone

Occupation	Job Title	Employer

Work Address	Work Phone

Other Colleges & Universities, Class Year, Degree and Major

Professional Societies (as a student or during employment)

Clubs and Organizations (as a student or during employment)

Name of Newspaper(s), Address(es) (to send award info to)

Nominator Information
Name	Address	Home Phone

		Work Phone

Person Who Can Provide Additional Information (If Needed)
Name	Telephone

Questions
In what way(s) has the nominee shown outstanding contributions in his/her personal life? Please be specific, i.e. volunteer organizations, church activities, etc.

In what way(s) has the nominee shown outstanding contributions in his/her professional life? Please be specific, i.e. promotions, awards, etc.

In what way(s) has the nominee rendered outstanding contributions to his/her academic life? Please be specific, i.e. degrees attained, continuing education, etc.

In what way(s) has the nominee rendered outstanding service to Central Virginia Community College? Please be specific, i.e as a student, alumnus, instructor, etc.

Enter the following number and text color for form verification

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Contact CVCC Alumni Association:

Central Virginia
Community College
3506 Wards Road
Lynchburg VA 24502-2498

Phone: 434.832.7292
Email: click here