Let us know of deserving alumni service award nominees. Any information requested here must be received no later than September 1, 2008. All information submitted shall be retained by the Committee.

Include with this nomination a minimum of two (2) letters of recommendation. A limited number of newspaper clippings, magazine articles, and other supportive materials may also be sent. Mail this information to:
Bethel College
Attn: Mary Ann Autry
325 Cherry Avenue
McKenzie, TN 38201

Service Award Nominee

Individual Submitting Nomination:

Name:

Email:

Phone:

Street Address:

City, State, Zip Code:

Alumni Service Award Nominee Information:

Name

Graduation Year (if applicable)

Current Address

Phone (including area code)

Date of Birth

School Affiliation (if any)

City, State

Place of Birth

Date of Retirement

If Deceased - Date

Name of Spouse or Closest Living Relative

Address

Phone

Please list in the box below any school's attended. List High School, College/Bethel, and Post Graduate.
List Name of School, City and State, Year Graduated, and Degree awarded.

School's Attended: