East Los Angeles College
Commencement Speaker Nomination Form

Deadline: Friday, January 18^th, 2019 @ 11:59PM

Name of nominated speaker:

Nominee's corporation/organization:

Nominee's title:

Nominee's phone number:

Nominee's address:

Nominee's affiliation with East Los Angeles College (if any):

Nominee's email address:

Has this nominee been nominated before? If so, when?

Is the nominee an ELAC alumnus? Yes No

Why is the nominee appropriate as an East Los Angeles College commencement speaker?

What is the nominee's academic background?

Does the nominee currently hold public office? Yes No

If yes, please provide details.

Is the nominee currently seeking public office or will s/he be seeking office at the time of the ceremony? Yes No

If yes, please provide details.

Your Name:

Your Email:

Your college affiliation:

**Application framework borrowed from College of Charleston , South Carolina**