The McLennan Community College
Distinguished Leader Award
Nomination Form
(Must be received by July 15, 2020 for consideration in 2020 competition.)
Nominee Name: _______________________________________________________________
Class Year: ________________________ Major (if known): ____________________________
Current occupation/title: _________________________________________________________
(attach current resume)
Main Criteria: (Attach additional pages, if desired)
Record of extraordinary service and achievement to a particular organization or cause that has
brought distinction to the college, either directly or indirectly.
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Factors for Consideration: (Attach additional pages, if desired)
Examples of good character, citizenship, and service to the community.
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Other Professional or Personal Achievements: (Attach additional pages, if desired)
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Please note: The attachment of relevant supporting documents (resume, awards, press
clippings, letters of recommendation, etc.) is encouraged. At least one letter of recommendation
from someone other than the nominator is required for consideration.
Nominator’s Name: ____________________________________________________________
Nominator’s E-mail Address: _____________________________________________________
Nominator’s Phone Number: _____________________________________________________
(Office Use Only) Date Submitted: _______________________________________________