Nominee's Name: Maiden:

Years Attended EC: ECCC Graduation Date:

Address:

Phone: (work)   (home) (cell)

High School Attended: County:

Sports Lettered In & Honors Received At EC:

College Attended After EC:

Sports Lettered In and Honors Received At Senior College Level:

Work Experience:

                Place                                                Position                                Dates

Honors Received:

Attach additional information if needed (example: resume, newspaper articles, etc). 

Name of person submitting nomination:

Address:

Phone:

Year Attended/Graduated From EC:

Deadline to submit nomination form: July 01, 2007

*Applications are good for two consecutive years.  Additional info about nominees is encouraged.  Attach info to this form.  Selection is based primarily on print materials received.  To submit attachments click here, or mail to the Alumni Association, P.O. Box 129, Decatur, MS 39327.