UIC-EAA/College of Engineering Awards Nomination Form

NominaTIons can be made by any UIC College of Engineering Alumni or any member of the UIC College of engineering faculty or staff.

Please provide one letter of support for the nominee from an individual other than the nominator is required. This letter can be from someone other than a UIC College of Engineering Alumni or a member of the UIC College of Engineering faculty or staff.

Nominee Information

Name *
Name
(Include name at graduation in parantheses, if different)
Address *
Address
Phone
Phone
(if available)
(Required for Achievement Award only)
Include company, title, profession, business address, etc. If retired, please include date of retirement
List outstanding achievements in chosen field of endeavor and evidence of national/international distinction or service to the College of Engineering
Nominator Information *
Nominator Information
Address *
Address
Phone *
Phone

Forward supporting letter to:

William Hawes                                                                                                                                                                                       1915 Sunnydale Ln., Lisle, IL 60532