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格式).
If you need a printable form, please contact Maria McLeod at mmcleod@jkchealthtech.com or 601-635-6303.
- 应用程序s 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 * 是必需的.
