Alumni Association

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Distinguished Alumni Application

Distinguished Alumni Award Application

Step 1 of 2

Please fill our to the best of your knowledge.
Nominee's Name * Required
First Last
Maiden Name
Nominee Address * Required
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Nominee Email * Required
Nominee Phone * Required
Nominee Years Attended SUNY Niagara (i.e. 1980-1982) * Required
Curriculum/Degree * Required
Advanced Degrees * Required
Occupation/Employer * Required

Nominator
Nominator's Name * Required
First Last
Address * Required
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Email * Required

Phone * Required
Relationship to Nominee * Required

Please attach the two-page minimum narrative answering the following questions: * Required
Max. file size: 50 MB.

What achievements or contributions from this nominee make them deserving of this honor? How has their work positively impacted their field, community, or the lives of others?

List business & professional achievements. Describe how nominee has demonstrated significant, measurable achievement in their chosen field. If applicable, list any additional degrees or certifications the nominee has obtained and explain how these credentials have contributed to their success.

List professional honors and awards, professional affiliations, and publications. Explain the significance of these recognitions and how they highlight their achievements.

List civic and community involvement. Describe how the nominee has contributed leadership service to the community, state, nation or world.

List past and/or present volunteer service to SUNY Niagara.

Describe the nominee’s involvement, leadership and/or financial support to the Alumni Association, the NCCC Foundation and/or the College.

List any other appropriate qualifications which merits consideration.

Please attach the nominee’s resume * Required
Max. file size: 50 MB.

Contact

NCCC Niagara Foundation, Inc.

Courtney Helinski, Assistant Director of NCCC Foundation
3111 Saunders Settlement Rd.
Sanborn, NY 14132
Phone: 716-614-6231
Email: chelinski@niagaraccsuny.edu

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