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Mercy Honour Roll Nomination Form

The purpose of the “Mercy Honour Roll” is to acknowledge inspiring Alumni who have
achieved success in a recognised field and who would serve as role models for future
Mount Lilydale Mercy College Students.

The person’s last year of attendance at the College must be at least 10 years ago.
Living and Deceased persons shall be eligible.

In order to be eligible for “Mercy Honour Roll”, the nominee must be:
- A Graduate of Mount Lilydale Mercy College and must have attended the College.
- A former Member of Staff who gave distinguished service for 8 years or more.
- A member of the wider College Community who has made significant contributions to the
- There may be exceptions to the above at the discretion of the Principal and Committee

Selection to be based on the following criteria:
- Commitment to Mercy Ethos
- Character
- Leadership
- Integrity

The categories will be as follows:
- Significant contribution to Religious/Spiritual Life/Social Justice
- Excellence in a profession such as law, education, medicine, journalism, armed services
- Recognised outstanding success in business, industry or trade.
- Excellence in professional or amateur sport
- Excellence in one or more fields of cultural endeavour in the arts, music, theatre, dance,
- Outstanding service to the Community

The Selection Committee will consist of at least 10 members of the Old Collegians’ Association Committee, plus the Principal of Mount Lilydale Mercy College. The Committee will make recommendations to the Principal. No member of the Committee will be eligible for nomination whilst a member.

Email address *
Nominee's Name: *
Your answer
Address (If applicable): *
Your answer
Years attended or associated with Mount Lilydale Mercy College: *
Your answer
Current Occupation (If applicable): *
Your answer
Reasons for Nomination. Please provide a thorough, detailed response addressing the above criteria:
Your answer
Nominated by: *
Your answer
Address: *
Your answer
Contact Number: *
Your answer
Seconded by: *
Your answer
Address: *
Your answer
Contact Number: *
Your answer
Nominations close Friday August 3, 2018. Thank for taking the time to make your nomination. The Mercy Honour Roll is regarded the College's highest award. We look forward to keeping you up to date with your nomination. Kind regards, The Mount Lilydale Mercy College Old Collegians' Association.
A copy of your responses will be emailed to the address you provided.
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