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Graduating Student Recognition Award
Nomination Form

The deadline for 2008 nominations has passed.. The CON Alumni Association Awards Committee will select the recipient and the award will be conferred at commencement. If you experience any difficulties with this form, please contact the Alumni Association at 312.996.7663, fax the nomination to 312.413.4399, or send an e-mail to kuehnert@uic.edu.

Please note! At least two (2) letters of support must accompany a nomination. Please have these letters forwarded to kuehnert@uic.edu.

Information About the Nominee:

Name:
Street Address:
City:
State:
Postal Code:
Phone Number:
E-mail Address @ UIC:
Alternate E-mail Address:
Department/Program/Degree:
GPA:
Expected Graduation Date:	Fall Spring
Student ID Number (optional):

Please describe the nominee’s college, campus, or community activities. In your opinion, why does the nominee deserve this award?

Information About the Nominator:

Name:
Title/Position:
Street Address:
City:
State:
Postal Code:
Phone Number:
E-mail Address:
Verify E-mail Address:

Last updated : 03/07/2008