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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
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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.