LC Distinguished Alum Nomination Order Number Full Name of Nominee * Maiden Name (if applicable) Phone Number * Home Address * City, State, Zip Code * Email Address * Is Nominee an LC alum? * Yes No Year of Graduation * Degree Earned How can we help? Spouse's Name Children's Names Grandchildren's Names Career Information Civic, Social, and Religious Involvement Awards, Recognitions, and Publications Additional Degrees or Education Comments / Questions * Nominated by Dr. Mr. Mrs. Ms. Full Name * Home Address * City, State, Zip Code * Home Telephone * Business/Cell Phone * Connection to Louisiana College Graduate of LC Former Student Faculty Former Faculty Staff Former Staff Trustee Former Trustee Other
