GOGEBIC COMMUNITY COLLEGE • E 4946 Jackson Road Ironwood MI 49938 • P: 800.682.5910

Alumni of the Year Award

Gogebic Community College Foundation Alumnus/Alumna of the Year
Nomination Form

Simply fill out this form and click the "submit" button to send it electronically or e-mail your nominee suggestion to Kelly Marczak.

Tell us about the person you are nominating for this award:
Prefix (Mr., Ms., Dr. etc.):
First Name:
Last Name:
Living/Deceased:
Maiden Name (if applicable):
Street Address (if known):
City (if known):
State (if known):
Zip Code (if known):
Home Phone:
Business Address (if known):
Position or Title:
Business Phone:
E-mail (if known):
Year attended/graduated:
Degree/Program:
Professional Achievements:
Personal Achievements:
Tell us about yourself:
Prefix (Mr., Ms., Dr. etc.):
First Name:
Last Name:
Street Address:
City:
State:
Zip Code:
Home Phone:
Business Phone:
E-mail:
If you are a former student or a graduate of GCC/JC: When did you attend/graduate?
Degree/Program: