Distinguished Alumni Award Application

Step 1 of 2

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

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

Email*

Phone*
Relationship to Nominee*
Please attach the two-page minimum narrative answering the following questions:*
Max. file size: 100 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*
Max. file size: 100 MB.

Contact

Organization: NCCC Niagara Foundation, Inc.

Contact Person: Courtney Helinski, Assistant Director of NCCC Foundation

Address: 3111 Saunders Settlement Rd., Sanborn, NY 14132

Phone: 716-614-6231

Email: chelinski@niagaracc.suny.edu

Distinguished Alumni Application

Distinguished Alumni Award Application

Step 1 of 2

Nominator

Contact