Difference Maker Nomination Form

Please complete all *REQUIRED fields in the electronic form below for instant submission.
OR
Print the PDF form below, complete it and fax to 734-462-4672 or mail to Marketing Dept., Schoolcraft College, 18600 Haggerty Road, Livonia, MI 48152.
OR
Complete the PDF form electronically and email it as an attachment to mgaynier@schoolcraft.edu. Use the buttons within the last page of the PDF to submit the form as attachment.

// Download the Electronic PDF

STEP #1 - Your Information

First Name *
Last Name *
Address *
City *
State *	(Ex: MI) - Please use 2-character abbreviation
Zip *
Telephone *	(Ex: 111-111-1111)
E-mail *	(Ex: xxx@xxx.xxx)

STEP #2 - Your Nomination

First Name *
Last Name *
Address
City
State	(Ex: MI)
Zip
Telephone	(Ex: 111-111-1111)
E-mail	(Ex: xxx@xxx.xxx)
Employer
Title

Relation to College *
	Please describe further the nominee’s relationship to the college (subject matter taught, department, area of study, timeframe attending or working at the college, volunteer activities, etc.)

Essay *	Please describe in 500 words or less how this Difference Maker nominee has either made a significant difference to Schoolcraft College; or as a result of their experience at or their relationship to Schoolcraft College the nominee has made a significant difference in their community.

STEP #3 - Submit Form

Call 734-462-4412 or email mgaynier@schoolcraft.edu for more information.