Fillable Nomination for the MONTGOMERY COLLEGE ATHLETIC HALL OF FAME pdf

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Nomination for the MONTGOMERY COLLEGE ATHLETIC HALL OF FAME pdf

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02/2018
MONTGOMERY COLLEGE ALUMNI ASSOCIATION
Nomination for the
MONTGOMERY COLLEGE
A
THLETIC HALL OF FAME
The Montgomery College Athletic Hall of Fame honors former student athletes and coaches who have
demonstrated outstanding athletic achievement while a student athlete at Montgomery College, outstanding
contributions as a coach at the College, and/or outstanding athletic achievement as a player or coach after
leaving the College. Nominations are invited from alumni, faculty, and staff. A selection committee
composed of the athletic director, three current coaches, and an alumnus from the MC Club will review all
nominations to select the honorees.
Criteria for Membership in the Hall of Fame
•
The nominee must have participated as a student or as a coach on the faculty at Montgomery College.
• The nominee will not be eligible until five years from the date of leaving Montgomery College.
• The nominee would have created an outstanding record in at least one of the following:
— Outstanding athletic achievement at Montgomery College (e.g., All-Region, All-American, etc.); and/or
— Outstanding athletic achievement as a player or coach after leaving Montgomery College; and/or
— Outstanding achievement in community service or in one’s profession.
• No more than five individuals may be inducted in one calendar year.
The Association may condition the selection upon the nominee’s availability to accept induction at the Association’s
awards banquet.
Instructions for Completing This Nomination
Please complete, print, and sign this form, assemble all supporting documents (including the nominee’s resume or
biographical data), and mail the signed form with supporting materials to the Montgomery College Alumni
Association, ATTN: Athletic Hall of Fame, 9221 Corporate Blvd., Rockville, MD 20850.
To ensure full consideration, please include as much supporting documentation as possible.
GENERAL INFORMATION ABOUT THE NOMINEE
Nominee’s Full Name Nominee’s Class Year (or years of MC attendance)
Address
City State Zip
Daytime Phone Evening Phone Cell Phone (If applicable)
E-mail Address
Current Employer Job Title
Nominee’s Principal Campus or School (Check One):
B-CC Bliss/Navy Takoma/Sil. Spring Carver Rockville Germantown MCAD
Did the Nominee graduate with a degree or certificate? Yes No Not sure
Major, Degree Area, or Certificate Program, if known Total credits earned, if known
NOMINEE’S ACCOMPLISHMENTS AND CONTRIBUTIONS
Please describe the nominee’s athletic achievements while at Montgomery College. (Use the space below. If
more space is needed, please attach another sheet of paper.)
Please describe the nominee’s noteworthy athletic and/or professional achievements since leaving the
College.
(Use the space below. If more space is needed, please attach another sheet of paper.)
Please describe the nominee’s professional and/or community achievements. (Use the space below. If more
space is needed, please attach another sheet of paper.)
Please describe any other noteworthy information about the nominee that would be helpful in the
evaluation of this nomination.
(Use the space below. If more space is needed, please attach another sheet of paper.)
YOUR CONTACT INFORMATION, CERTIFICATION AND SIGNATURE
Name of Person Submitting Nomination Your Affiliation with MC or Alumni Association
Your Address
City State Zip
Daytime Phone Evening Phone Cell Phone (If applicable)
E-mail Address
How long have you known the Nominee? How do you know the Nominee? (Classmate, relative, etc.)
I certify that the information in this nomination is true and correct to the best of my knowledge. I understand that this nomination
is subject to review by an Alumni Association volunteer committee and approval by the Association’s governing board. I consent
to the release of my personal and academic information contained in this nomination for purposes of Alumni Association review
and approval, and I certify that I have the consent to share such information about other individuals as I have provided herein. I
understand that information concerning the Alumni Association’s review of this nomination may be kept confidential from me and
the public, and I waive any rights of access that I may otherwise have by law.
Signature
Date
Please complete, print, and sign this form, assemble all supporting documents (including resume
and/or biographical and professional data), and mail it to the Montgomery College Alumni
Association, ATTN: Athletic Hall of Fame, 9221 Corporate Blvd., Rockville, MD 20850.
Nominations received by April 30 will be considered for the upcoming Academic Year’s awards.
Consideration of nominations received after April 30 may be deferred to a succeeding Academic Year.
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