(Evening)
GRCC Student
GRCC Employee
Please enclose any of the following: your written narrative, list of nominees
accomplishments, letters of support, or news articles. (Submitting supporting documents will
enhance your candidates chances of being selected.)
Nominators Name
Nominators Address
Nominators Telephone (Day)
(Evening)
Nominators E-mail
Please submit this nomination form by December 1, along with supporting documentation about your nominee to:
Bob and Aleicia Woodrick Center for Equity and Inclusion
Grand Rapids Community College
143 Bostwick Avenue NE
Grand Rapids, MI 49503-3295
(616) 234-3390
www.grcc.edu/stw
This publication is available in alternative formats upon request. Please contact The Bob and Aleicia Woodrick Center for Equity and Inclusion for more details.
Accredited by the Higher Learning Commission. GRCC is an Equal Opportunity Institution. 74116 12/16