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2015 Distinguished Alumni Award Nomination Form
For many, the road to lifetime achievement started at Central New Mexico Community
College. The CNM Foundation established the Distinguished Alumni Award in 2002 to
highlight the outstanding accomplishments of our graduates. This prestigious award serves
to recognize CNM alumni who have attained significant distinction in his or her professional
field or life which reflects the mission and values of CNM.
Fields marked with * are required
Nominee:
Name:* __________________________________________________
Employer:* _________________________________________ Title:* _________________________________
Graduation Year: ___________
Program:* _________________________________
Degree/Certificate Received: __________________________
Address:* _________________________________________________________________________________
City:* _________________________________ State:* ___________ Zip:* _____________
Phone:* ______________________________ Cell Phone: _________________________________
Email: _____________________________________ Spouse/Significant other name: ____________________
Nominator:
Name:* _________________________________________________
Department/Address:* ________________________________________________
Phone: * _____________________________
Email: _____________________________________
Relationship to Nominee: ____________________________________
Deadline - June 19, 2015
Submit to the CNM Foundation Office
525 Buena Vista Dr. SE, Albuquerque, NM 87120
505-224-4686
Questions:
What makes the nominee a distinguished alum(ae)?*
Professional experience, accomplishment and achievements:*
Community or Professional Organization(s):
Volunteer or Community Activities:
Other Personal or Professional Interests:
Thank you for your nomination. All those nominated will be recognized.