Distinguished Alumnus/na Award Nomination Application

Required

Nominee's Full Namerequired

First Name

Middle (optional)

Maiden (optional)

Last Name

Nominee Class Year required

(must have graduated 5 years earlier, minimum)

Nominee Address:

Street:

City, State, Zip:

Cell Number:

Email Address:

Biography/Career/Volunteer information on the nominee:

In your own words, why should this person be considered by the Distinguished Alumnus Selection Committee for this award?

Person making the nomination:required

First Name

Maiden (optional)

Last Name

Street Address:required

City, State, Zip:required

Cell number: required

Email Address:required

Please check one:

Alumnus/na

Faculty, administration, or staff (Current or Retired)

Other

Please send additional information that may assist the Hall of Fame Selection Committee to:

Annie McMillan
Alumni Coordinator
Maclay School
3737 N. Meridian Road
Tallahassee, FL 32312
Phone: 850-893-2138 x246
Email: amcmillan@maclay.org