The Country and Community Award

Please complete the following form to apply or nominate a candidate for The Country and Community Award.


Nominator Information
First Name    Middle Name    Last Name    Suffix
Phone   E-mail

Who Would You Like To Nominate?
Nominee's Name
Your Relationship to Nominee?
Your Relationship to McKendree University?
Nominee's Email
Nominee's Phone Number
Question 1
Question 2
Question 3