Please enable JavaScript in your browser to complete this form. - Step 1 of 4Person Being NominatedName *FirstLastCurrent AddressAddress Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodePrimary PhoneEmailEmployer NameEmployer AddressAddress Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeWSCC Degree or CertificateGraduation YearAdditional Degree(s)YESNOInstitution(s)Degree(s)NextDistinguished Alumni Award CategoriesAward for which person is nominated *Professionalism/Achievement in chosen fieldVolunteerism/Service to the CommunityStatement of SupportPlease describe the nominee's qualifications for this awardNextNominator InformationNominator's Name *FirstLastNominator's Address *Address Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeNominator's Phone *Nominator's Email *NextNominator Information continuedAre you a graduate of WSCC? *YESNOYear graduated from WSCCAdditional DocumentsPlease provide any appropriate additional documents to support the nominee’s qualifications for this award. Additional documents may include: Nominee’s resume Certificates of achievement/awards Press releases Letters of recommendation Documents may be uploaded here (PDF, DOCX, JPG, PNG) Click or drag files to this area to upload. You can upload up to 10 files. Or mail to: Washington State Community College Foundation 710 Colegate Drive Marietta, OH 45750 Or email to: mhardway@wscc.edu Or fax to: 740.374.9562EmailSubmit