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Deadline for submitting nomination forms and packets is April 11th. Award nominations are welcome throughout the year preceding the deadline.  The following information must be completed.  Incomplete nominations will not be considered by the alumni committee.   

LCSC Alumni Awards Nomination Form

Nominee Information:

Name
LCSC Class Year(s)
College(s) / School(s)
Other Degree(s) from institutions other than LCSC

Nominee Contact Information:
Home Address   Email
City, State, Zip, Country
Home Phone      
Business   Business Phone
Business Address      
City, State, Zip, Country

I am nominating this person for the following Award:  (You may nominate someone for more than one category.)  

  Alumni of the Year Award
  Marion Shinn Lifelong Achievement Award
  Excellence in Education Award
  Aletha Pabst Award

  Rising Star Award
  Spirit Award for Extraordinary Alumni

       Service
  Outstanding Coeur d’Alene Alumni

       Award

Briefly describe why you think this person deserves the award for which they are nominated:
 
Business/Professional Accomplishments:
 
Community/Professional Affiliations:
 
Decorations, Honors, Awards:
 
Publications:
 
Volunteer Service:
 
Additional Information (optional):
 

Nominator Information:
Name   Email
Home Address   Phone
City, State, Zip, Country
LCSC Affiliation
LCSC Class & Year (If applicable)
Date Submitted

The following information is optional:

Nominee's vitae: (Optional)
 
Letter of support #1 - (Optional) preferably from different constituencies (students, faculty, staff, alumni or friends of the college)
 
Letter of support #2 - (Optional) preferably from different constituencies (students, faculty, staff, alumni or friends of the college)
 
 
 

Lewis-Clark State College Office of Alumni Relations
500 8th Avenue, Lewiston, ID 83501  |  Phone: 208.792.2458  |  Fax: 208.792.2201

 

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