Alumnus/Alumna of the Year Online Nomination Form

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
Did spouse attend EC?

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.

One file only.
20 MB limit.
Allowed types: jpg, jpeg, pdf, doc, docx, xls, xlsx.
One file only.
20 MB limit.
Allowed types: jpg, jpeg, pdf, doc, docx, xls, xlsx.
One file only.
20 MB limit.
Allowed types: jpg, jpeg, pdf, doc, docx, xls, xlsx.
One file only.
20 MB limit.
Allowed types: jpg, jpeg, pdf, doc, docx, xls, xlsx.