Distinguished Alumni/Citizen Nomination Form

Distinguished alumni and citizens are honoured each year at our campus convocations. Nominations are due in December before the spring convocations.

Any questions or additional information can be sent to charlene.mcfarland@lakelandcollege.ca

Please choose the nomination category
Distinguished Alumni
Distinguished Citizen
Nominee Information
Nominee's Name*
If you choose alumni please fill in their class year and program.
Class Year:
Program:
Street Address
City
Province
Postal Code
Email Address*
Nominator Information
Nominator's Name*
Street Address
City
Province
Postal Code
Email Address*
Phone
Additional Information
Please provide biographical information of the nominee including education, accomplishments, awards, volunteerism or other service.
How has this individual contributed to his/her community and to Lakeland College?
Are there special or unique accomplishments this individual has achieved that should be highlighted?