INSPIRE Award Nomination Form

To insure the committee has the information they need to make an informed decision please make sure that your nominations:

INCLUDE specific examples of a nominee's commitment to UIC's Core Values
INCLUDE an example of the range of people they inspire
AVOID a listing of professional accomplishments, unless they are connected to the nominee's commitment to UIC's Core Values.

If you have questions about this award or the selection process, please contact the INSPIRE Selection Committee, c/o the University of Illinois Alumni Association, at 312/996-8535 or wowaward@uic.edu.

About the Nominee
Name:

Position/Title:

College/Department/Unit:

Supervisor (if known):

Supervisor's Phone:

Supervisor's E-mail:

Explain why this individual deserves recognition for how they INSPIRE others at UIC through their commitment to the UIC Core values. You may copy and paste letters in the text box below or e-mail letters to wowaward@uic.edu.

Nominator
Submitted By:

E-mail:

College/Department/Unit:

Address:

Phone:

You are: Other: