University of Illinois Alumni

Constituent Leadership Award Nominations

This award recognizes the alumnus or alumna who has demonstrated extraordinary leadership and/or special efforts in the organization, management and support of a constituent alumni association (college, school or department alumni association).

Nomination Criteria

This field is for validation purposes and should be left unchanged.

Nominee Information

Name(Required)

First Last

(Include name at graduation in parentheses, if different.)

Address(Required)

Street Address City State / Province / Region ZIP / Postal Code Country

University of Illinois degree(s)(Required)

(Ex. BS in Engineering, Urbana-Champaign)

Year(s) of graduation

Degrees from other colleges/universities

Year(s) of graduation

Present occupation(Required)

(Include company, title, profession, business address, etc. If retired, please include date of retirement.)

Why does the nominee deserve this award?(Required)

(List outstanding achievements in chosen field of endeavor and evidence of national or international distinction.)

Career summary(Required)

Special recognitions, honors or awards

Publications or patents

Civic activities, philanthropic endeavors

Other information of interest

Nominators are encouraged to provide optional information about the nominee, such as relevant recognitions, honors, awards or accomplishments, and resumes or CVs. Acceptable document upload file types: PDF, JPEG, PNG and Word.

Document 1

Upload document with additional information (optional, max 2MB).
Note: If using Google Docs, we recommend exporting as PDF.

Drop files here or

Accepted file types: txt, rtf, doc, docx, pdf, jpg, jpeg, png, Max. file size: 2 MB, Max. files: 1.

Document 2

Upload document with additional information (optional, max 2MB).
Note: If using Google Docs, we recommend exporting as PDF.

Drop files here or

Accepted file types: txt, rtf, doc, docx, pdf, jpg, jpeg, png, Max. file size: 2 MB, Max. files: 1.

Nominator Information

Name(Required)

First Last

Address(Required)

Street Address City State / Province / Region ZIP / Postal Code Country

Phone(Required)

Email(Required)

Constituent group sponsoring nomination