NOMINATION FOR THE
TRITON ATHLETIC AWARD
In celebration of its historic athletic past, Iowa Central Community College is proud to announce the creation of the Triton Athletic Award. Its purpose is to honor significant contributions of former Triton athletes, coaches, administrators, and supporters to the success of Eagle Grove Junior College, Webster City Junior College, Fort Dodge Junior College, and Iowa Central Community College athletics. Up to five awards will be granted annually. (Current members of the faculty, staff, board of directors, and award committee members are ineligible to receive this award.)
[PLEASE TYPE]
Name
Home address
Home phone Cell Phone
Business name (or Profession/Life’s Work)
Business address
Position title Daytime phone
E-mail Fax
Degree(s) earned from ICCC (list degree/curriculum/year)
Degree(s) earned from other institutions (list degree/curriculum/year/institution)
SELECTION CRITERIA:
Please follow the nomination format closely. Please list applicable information in each of the following categories, and attach two additional letters of recommendation. Additional attachments or information other than those requested below will not be considered in the selection process.
- Nominator’s summary detailing why this person should be chosen for this award. Please refer to the criteria listed on the award form.
Name of nominator
Daytime phone Cell: E-mail
Home address
Business name/title
Business address
Signature of nominator Date
RETURN NOMINATION FORM AND SUPPORTING MATERIALS BY AUGUST 15th to: Iowa Central Alumni Association, Attn: Distinguished Awards Committee, Iowa Central Community College, One Triton Circle, Fort Dodge, IA 50501 or fax to 515-576-7207. Questions? Please call Associate V.P., of Development & Alumni Relations, Laurie Hendricks at 800-362-2793, Ext. 1145 (locally at 515-574-1145), or send e-mail to .
This information is requested to select individuals for recognition. No persons outside the college are routinely provided this information. Excerpts from the nomination and supporting letters may be used for publicity or in the printed program for award winners. (4-10-12)