CCA Hall of Fame
Entry Form
Deadline: April 7, 2003
Please duplicate this form for multiple entries.
Candidate
Name________________________________________________________________________
Date of Birth_________________________Social Security Number_______________________
Address_______________________________________________________________________
City, State, Zip_________________________________________________________________
Phone_________________________________Email___________________________________
Dates of Attendance_________________________Date of Graduation_____________________
Course(s) of Study______________________________________________________________
Note: Credit and credential checks may be conducted during the selection process. Please notify the candidate.
Institution
Name_________________________________________________________________________
Address_______________________________________________________________________
City, State, Zip__________________________________________________________________
Contact________________________________________________________________________
Phone_____________________________________Fax_________________________________
Email_____________________________________Date________________________________
Please provide the items listed below. These items won't take long to collect, and your institution probably has
several potential members for the CCA Hall of Fame.
· Biographical information, including information on accomplishments or special awards.
· Description of current job.
· Letter of support for the award from the employer.
· A quote from the former student as to why his/her career education was important for career success.
· A letter from the CCA institution, "Why this candidate should be inducted into the Hall of Fame program."
· Black and white 5" x 7" photo.
Mail your entry form to:
Career College Association, Hall of Fame Awards, 10 G Street, NE, Suite 750, Washington, DC 20002-4213
For more information, contact Marty Byrne at (202) 336-6705 or
martyb@career.org
.
