To nominate someone for Alumna/Alumnus of the Year, this form must be filled out in its entirety and you must submit a recent high-resolution, headshot photograph of the nominee (at least 300 dpi and in .jpg format).

If you need a printable form, please contact Maria McLeod at mmcleod@eccc.edu or 601-635-6303.

  • Applications are good for five consecutive years.
  • Additional information about nominees is encouraged. Additional information may be uploaded with this form. Selection is based primarily on materials submitted.

The fields marked with * are required.

WORK EXPERIENCE
FAMILY

Any additional information may be mailed to the address below or uploaded below.

Alumni Association
East Central Community College
P.O. Box 129
Decatur, MS 39327-0129
Ph: 601-635-6327

Click below to upload additional information you would like to attach to this form.

Files must be less than 20 MB.
Allowed file types: jpg jpeg pdf doc docx xls xlsx.
Files must be less than 20 MB.
Allowed file types: jpg jpeg pdf doc docx xls xlsx.
Files must be less than 20 MB.
Allowed file types: jpg jpeg pdf doc docx xls xlsx.
Files must be less than 20 MB.
Allowed file types: jpg jpeg pdf doc docx xls xlsx.
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