Awards Nomination Form

Complete the form below to nominate someone for one of our awards. We may contact you for additional information. For a description of our Awards, please visit the Awards page. If you have questions, please email or call (607-962-9284).

Please don't fill out this input box.

Award Selection*

Ann Marie Rossi 76 Alumni Employee Award

Eileen M. Collins 76 Professional Achievement Award

Parsons Community Service Award

One to Watch Award

Founders Community Partner Award

Distinguished Alumni Award

Perry Education Profession Award

Name*Please enter the name of the person you are nominating (including maiden name if appropriate).

Email*

Phone*

Address*

City*

State*

Zip Code*

Please identify your nominee's achievements in the following areas. It is important to be as detailed as possible. The information you provide will be rated by a committee and compared to other nominations. All areas must be completed. If you are not familiar with his/her achievements in any of the areas listed, indicate N/A.

Identify how your nominee has served as a role model to others.*

Identify your nominee's service to and/or involvement in the community.*

Identify your nominee's professional accomplishments. If you prefer you may send a resume to alumni@corning-cc.edu. Please include Alumni Awards Nomination in the subject line.*

Identify how your nominee is/was involved with SUNY CCC to enhance the quality of service the College provides.*

Submitted by (name)*

Daytime Phone (for person submitting nomination form)*

Email (for person submitting nomination form)*