Distinguished Alumni Nomination Form

You have choices about how to submit a distinguished alumni nomination form and the required supporting documents.
Before you get too far into the process, please contact the nominee and tell them you are nominating them for this award. You'll need their resume or CV, so you'll need their cooperation and assistance.
2020 nomination deadline is November 15, 2019.

Web form or interactive PDF form

You may either use the web form below, or fill in the interactive PDF version of the Distinguished Alumni Nomination Form.

Supporting documents

  1. Nomination letter - You may use the spaces in the form, or write a nomination letter answering the 4 questions. Please be brief, about 100 words per question.
  2. Supporting letter - Please submit one letter of support. Letters should only be a page long and include the details of specific achievement(s).
  3. Highlights - Please submit the highlights of the nominee's work and or volunteer experience.

How to submit

Either email these documents to georgina.altman@lakelandcollege.ca or mail to Office of the Vice President External Relations and Infrastructure, Lakeland College, 2602 59 Ave Lloydminster AB T9V 3N7. Nomination deadline for 2020 recognition is Nov 15, 2019.

Section A - The Nominee

Nominee's first name:*
Nominee's last name*
Nominee's phone number*
Nominee's email address
Nominees mailing address*
Nominees city*
Nominee's province:*
Nominee's postal code:*
Lakeland program:*
Class Year/Year of Study:*

Section B - Nominator

First name*
Last name*
Email address*
Mailing address (box, street, RR)*
Postal code*

Section C - Nomination Requirements

Distinguished Alumni Awards recognize graduates who have demonstrated professional excellence and leadership, and who have been an inspiration to fellow alumni, current students and the community.
In addition to this web form, your nomination must include the following:
  • Confirmation you have told the nominee about the nomination
  • A nomination letter, or filling out questions below
  • Support letters
  • The nominee's resume or curriculum vitae (CV)
Please submit all of the supporting documents to either by mail or email. Addresses are at the bottom of this form.
Informed nominee
I have told the nominee about this nomination.*
Nomination letter
You may submit a separate nomination letter covering the same questions listed below. Please be brief (100 words or less). Or, answer the questions in the form below.
1. In what ways are the nominee’s achievements exceptional? Why should they be honoured as a distinguished alumnus?
2. In what areas has the nominee made significant accomplishment? You must answer at least one of the three areas of accomplishments.
a. Demonstrated exceptional leadership and accomplishment in their professional and personal life
b. Through the ongoing pursuit of knowledge has shown enrichment in their profession.
c. Community and public service accomplishments that bring brings recognition to their community, Lakeland College or the Alumni Association and the nominee’s profession
3. How has the nominee shown one or more of Lakeland’s values of learner success, integrity, respect, community, excellence and innovation?
4. How does the nominee demonstrate Lakeland’s motto Ever to Excel?
Letters of Support
  • Please submit at least one letter of support.
  • The letter should only be one page long
  • Letters should give specific examples and details of the candidate’s professional, personal, and/or academic achievements
    Please list highlights of the nominee's work and or volunteer experience.

    Submitting the nomination

    You may fill out either this web form or use the link to the interactive PDF form.
    To submit the supporting documents, you may either email them to georgina.altman@lakelandcollege.ca or mail to:
    Office of the Vice President, External Relations & Infrastructure
    Lakeland College
    2602 59 Ave Lloydminster AB T9V 3N7
    This information will be held in strict confidence and will not be distributed to anyone other than the Selection Committee.


    If you wish to receive a response and other emails from Lakeland College, you must opt-in. You may unsubscribe at any time*
    The personal information requested on this form is collected under the authority of Section 33(c) of the Alberta Freedom of Information and Protection of Privacy Act for the purpose of the award selection process and will not be disclosed for any other purpose. Please note that by making a FOIP access request, a nominee may gain access to a letter of support and/or other information of which he or she is the subject. Individuals have the right to refuse to provide a letter of support for the nomination. Questions concerning the collection, use or disposal of this information should be directed to the FOIP Coordinator at Lakeland College, 5707 College Drive, Vermilion, AB T9X 1K5, call 780 853 8524 or email foip@lakelandcollege.ca.
    Sean Lessard at the Distinguished Alumni wall on the Lloydminster campus
    Dr. Sean Lessard was recognized as a Distinguished Alumnus in 2018.
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